ArticleAME case reports2026
Anesthetic management for thoracoscopic bilateral bullectomy in a patient with stage III pneumoconiosis, bilateral giant bullous emphysema, stage IV chronic obstructive pulmonary disease and profoundly impaired pulmonary function: a rare case report.
Article in AME case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Pneumoconiosis is a chronic occupational lung disease characterized by progressive diffuse pulmonary fibrosis and irreversible impairment of pulmonary function. The coexistence of bilateral giant bullous emphysema (GBE), end-stage chronic obstructive pulmonary disease (COPD), chronic hypercapnia, and cor pulmonale in pneumoconiosis patients is exceedingly rare and poses extraordinary anesthetic challenges. Case Description: We report the anesthetic management of a 67-year-old man with stage III pneumoconiosis complicated by bilateral GBE, stage IV COPD, chronic hypercapnia, and cor pulmonale. Preoperative pulmonary function testing revealed profoundly impaired lung function, with a predicted forced expiratory volume in one second (FEV Conclusions: This case demonstrates that a meticulously tailored anesthetic strategy, incorporating staged surgery, advanced OLV strategies with CPAP and pulmonary vein clamping, can enable the safe performance of bullectomy and yield meaningful functional improvement in this patient with pneumoconiosis and profoundly compromised pulmonary function.
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