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Chest, Vol 93, 1302-1304, Copyright © 1988 by American College of Chest Physicians

ARTICLES

Pulmonary hyperinflation following Nd-YAG laser resection of an obstructing mainstem tumor

WR Fairfax and RJ Rollins
Department of Internal Medicine, University of Utah College of Medicine, Salt Lake City.

Nd-YAG laser resection of a completely obstructing right mainstem tumor in a 36-year-old man was complicated by right lung hyperinflation and left lung collapse and accompanying ventilatory failure. This was attributed to obstruction of the right mainstem bronchus during exhalation, but not inhalation, in a patent but irregularly shaped bronchus postresection. Intubation, positive pressure breathing, bronchodilator therapy, and laser excision of residual right mainstem tumor resolved the ventilatory failure.




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Copyright © 1988 by the American College of Chest Physicians.