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Ann Thorac Surg 2006;82:2308-2309
© 2006 The Society of Thoracic Surgeons

How To Do It

Decompression of Giant Bulla in Acute Pneumonia: Surgical Palliation Prior to Definitive Management

Nathan M. Stewart, MBBS, Pankaj Saxena, MCh, DNB, Mark A.J. Newman, MD, FRACS, Igor E. Konstantinov, MD, PhD*

Department of Cardiothoracic Surgery, Sir Charles Gardner Hospital, Perth, Australia

Accepted for publication March 9, 2006.

* Address correspondence to Dr Konstantinov, Cardiothoracic Surgery, Sir Charles Gardner Hospital, Perth, WA 6009 Australia (Email: igorkonst{at}hotmail.com).

Giant bullae can be complicated by respiratory tract infection in the setting of emphysema. Herein we describe a technique of palliative decompression of the bullae that gives time to treat acute pulmonary infection prior to definitive surgical treatment.




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