Anterior transmediastinal contralateral access.

Transmediastinal approach for resection of bilaterally metastatic lung tumors, bullectomy and apical pleurectomy is a technically feasible and safe method. We report herein a 40-year-old male with a 20-year history of progressive dyspnea who underwent bilateral bullae excision through a left posterolateral thoracotomy. We tried to emphasize that a transmediastinal contralateral approach may prevent a secondary operation in patients with bilateral bullous lesions.