Pneumothorax and mediastinal emphysema due to an air leak from a bulla in an azygos lobe☆

1010-7940/$ see front matter Q 2005 Published by Elsevier B.V. doi:10.1016/j.ejcts.2005.06.045 * The patient was operated at the Section of General Thoracic Surgery, Department of Surgery, University of Catania, Catania, Italy. * Corresponding author. Tel.: C44 1480 364532; fax: C44 1480 831315. E-mail addresses: marcello.migliore@papworth.nhs.uk (M. Migliore), mmiglior@unict.it (M. Migliore). lobe. The suspected bulla was rather the mediastinal pleura blown-up by an air leak from a bulla of the azygos lobe (Fig. 1(b)). European Journal of Cardio-thoracic Surgery 28 (2005) 641 www.elsevier.com/locate/ejcts