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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 1/2019

01-01-2019 | Case Report

“Not all bullae are synonymous with COPD”—a rare congenital anomaly described

Authors: Vinitha Viswambharan Nair, Kiran Vishnu Narayan, Jayakumar Thanathu Krishnan Nair

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 1/2019

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Abstract

Hyperlucent areas with thin walls and absent vascular markings in chest X ray are described as radiological findings of a bullae. We present the case of an adult male referred for coronary revascularisation and bullectomy in the right lung. A non-smoker, without any significant past medical history, made us think of bronchial atresia. He was planned for coronary artery bypass grafting with close follow-up of lung anomaly. Clinicians should be aware of this entity in non-smokers with unilateral bullous lesion and calcification as other close clinical differentials warrant aggressive medical management.
Literature
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Traibi A, Seguin-Givelet A, Grigoroiu M, Brian E, Gossot D. Congenital bronchial atresia in adults: thoracoscopic resection. J Vis Surg. 2017;3:174–77.
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Wang Y, Dai W, Sun Y, Chu X, Yang B, Zhao M. Congenital bronchial atresia: diagnosis and treatment. Int J Med Sci. 2012;9:207–212.
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Raynor AC, Capp MP, Sealy WC. Lobar emphysema of infancy: diagnosis, treatment, and etiology aspects. Ann Thorac Surg. 1967;4:374–5.
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Wilson EP, Patel J, Logalbo F, Balasubramanian V. An adult case of bronchial atresia mimicking pulmonary embolism. Clin Pulmon Med. 2009;16:57–59.
Metadata
Title
“Not all bullae are synonymous with COPD”—a rare congenital anomaly described
Authors
Vinitha Viswambharan Nair
Kiran Vishnu Narayan
Jayakumar Thanathu Krishnan Nair
Publication date
01-01-2019
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue 1/2019
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-018-0715-2

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