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Orial Committee of Annals of Thoracic and Cardiovascular Surgery. All rights reserved.Combined pulmonary fibrosis and emphysema (CPFE) was described by Cottin et al.1) Pulmonary emphysema and fibrosis are dissimilar physiologic entities. Emphysema causes increased pulmonary compliance and lung volumes with reduced maximal expiratory flow rates and reduced lung elastic recoil. On the other hand, pu

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