A case of simultaneous bilateral spontaneous pneumothorax after the Nuss procedure

被引：5

作者：

Matsuoka, Shunichiro ^{[1
]}

Miyazawa, Masahisa ^{[1
]}

Kashimoto, Kentaro ^{[1
]}

Kobayashi, Hiroaki ^{[1
]}

Mitsui, Fumihiko ^{[1
]}

Tsunoda, Hajime ^{[1
]}

Kunitomo, Kazuyoshi ^{[1
]}

Chisuwa, Hisanao ^{[1
]}

Haba, Yoshiaki ^{[1
]}

机构：

[1] Kofu Municipal Hosp, Dept Thorac Surg, 366 Masutsubo, Kofu, Yamanashi, Japan

来源：

GENERAL THORACIC AND CARDIOVASCULAR SURGERY | 2016年 / 64卷 / 06期

关键词：

Simultaneous bilateral pneumothorax; Nuss procedure; PECTUS EXCAVATUM; COMPLICATIONS; REPAIR;

D O I：

10.1007/s11748-014-0489-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We present a case of simultaneous bilateral spontaneous pneumothorax caused by a pleuro-pleural communication formed from Nuss procedure for pectus excavatum. A 17-year-old man with a history of Nuss operation complained chest pain and dyspnea. A chest roentgenogram demonstrated a tiny bilateral pneumothorax and two metallic bars inserted at the Nuss procedure. Computed tomography revealed furthermore a bulla in the apex of the left lung. The bilateral pneumothorax critically deteriorated after 4 days from onset and urgent bilateral chest drainages were performed. Nevertheless the drainages the full expansion of both lungs was not obtained and air leakage only from left side was continued. A video-assisted left bullectomy was performed 9 days after the tube insertion. The two bars penetrating anterior mediastinal pleura were thought to be a cause of the simultaneous bilateral spontaneous pneumothorax.

引用

页码：347 / 350

页数：4

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