Defeating the pores of Kohn. (January 2014)

• Record Type: Journal Article
• Authors: Ng, Calvin SH; Lau, Rainbow WH; Lau, Kelvin KW; Underwood, Malcolm J; Yim, Anthony PC
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 22:Number 1(2014)
• Page Start: 102
• Page End: 104
• Publication Date: 2014-01
• Subjects: Lung -- Prostheses and implants -- Pulmonary alveoli -- Pulmonary emphysema; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492312474454
• Languages: English
• ISSNs: 0218-4923

Abstract

In the treatment of emphysema with an endobronchial valve, entire lobar treatment is important in achieving adequate atelectasis. This case illustrates that without treatment of the entire lobe, it can fail to collapse even after several years, leading to treatment failure. Intralobar collateral ventilation through the pores of Kohn is demonstrated in this case, as endobronchial valve blockage of the remaining patent anterior segment resulted in the desired atelectasis and significant improvements in pulmonary function.