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Journal of Intensive Care Medicine, Vol. 19, No. 6, 349-351 (2004)
DOI: 10.1177/0885066604269645

Emergent Bullectomy for Acute Respiratory Failure in Ehlers-Danlos Syndrome

Zeenat Safdar, MD

Columbia University of Physicians & Surgeons, St. Luke’s–Roosevelt Hospital Center, 432 W. 58th Street, Rm 520, New York, NY 10019zsafdar{at}chpnet.org

Mary O’Sullivan, MD

Janet M. Shapiro, MD

Division of Pulmonary-Critical Care Medicine, Columbia University of Physicians & Surgeons, St. Luke’s–Roosevelt Hospital Center, New York, New York

A 49-year-old man with Ehlers-Danlos syndrome developed acute respiratory failure requiring mechanical ventilation. Chest computed tomography demonstrated giant right bulla extending into the contralateral hemithorax with mediastinal shift. Surgical bullectomy with pleurodesis relieved tension effects and allowed weaning.

Key Words: mechanical ventilation • thoracotomy • emphysema • bullectomy


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