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Ann Thorac Surg 2007;84:290-292
© 2007 The Society of Thoracic Surgeons

Case Reports

Surgical Management of Pneumothorax in Pulmonary Alveolar Microlithiasis

Timothy J.P. Batchelor, FRCS(CTh)*, Dumbor L. Ngaage, FRCS(CTh), Damian V. McGivern, DM, FRCP, Michael E. Cowen, FRCS

Department of Cardiothoracic Surgery, Castle Hill Hospital, Cottingham, Hull, United Kingdom

Accepted for publication February 5, 2007.

* Address correspondence to Mr Batchelor, Department of Cardiothoracic Surgery, Castle Hill Hospital, Castle Rd, Cottingham, Hull, HU16 5JQ, United Kingdom (Email: tim.batchelor{at}virgin.net).

Little is known about pulmonary alveolar microlithiasis, a disease characterized by severe lung calcification. We report only the second case of an associated spontaneous pneumothorax. Bullous disease, which was encountered at the time of surgery, proved impossible to manage using a video-assisted approach. The difficulties related to its management are discussed in this case report.






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