Intrabullous Adhesion Pexia (IBAP) by Percutaneous Pulmonary Bulla Centesis: An Alternative for the Surgical Treatment of Giant Pulmonary Bulla (GPB)

Figure 3

The patient 35 (case 37), a 75-year-old man, was complicated by COPD, respiratory failure, cor pulmonale, coronary heart disease, hypertension, chronic renal insufficiency, and prostate cancer, had the target GPB in left of the lung (thick arrow) (a). Fourteen days after IBAP in April 2016, the GPB closed completely (thick arrow), while obvious subcutaneous emphysema secondary to tension pneumothorax remained to be absorbed (thin arrow) (b). Three weeks later, the subcutaneous emphysema disappeared (thin arrow) (c), and no bulla recurred (thick arrow) (c) until he died of sudden cardiac death at home in February 2017.

(a)

(b)

(c)