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

  • Vinitha Viswambharan Nair
  • Kiran Vishnu Narayan
  • Jayakumar Thanathu Krishnan Nair
Case Report


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.


Bullous disease Bronchial atresia Tuberculosis 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

An informed consent was obtained from the patient to publish the imaging pictures, although the patient’s identity was not revealed.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Department of Cardiovascular and Thoracic SurgeryGovernment Medical CollegeKottayamIndia
  2. 2.Department of PulmonologyGovernment Medical CollegeKottayamIndia

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