What are the contraindications for bullectomy?

Updated: Feb 21, 2019
  • Author: Neerja Gulati, MD; Chief Editor: Dale K Mueller, MD  more...
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Answer

Contraindications for bullectomy include the following:

  • Significant comorbid conditions
  • Poorly defined bullae on chest imaging
  • Pulmonary hypertension

Forced expiratory volume in 1 second (FEV1) that is less than 35%, hypercapnia, cor pulmonale, and carbon monoxide diffusing capacity less than 40% are associated with an increased risk of surgical intervention. [6]

An increased risk of surgery exists with older age, but advanced age is not a contraindication. [7]


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