Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients

Several studies have been published describing the clinical and radiographic findings of coronavirus disease 2019–related pneumonia. Therefore, there is currently a lack of pathologic data on its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic...

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Detalles Bibliográficos
Autores principales: Aiolfi, Alberto, Biraghi, Tullio, Montisci, Andrea, Bonitta, Gianluca, Micheletto, Giancarlo, Donatelli, Francesco, Cirri, Silvia, Bona, Davide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: by The Society of Thoracic Surgeons Published by Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7185014/
https://www.ncbi.nlm.nih.gov/pubmed/32353441
http://dx.doi.org/10.1016/j.athoracsur.2020.04.011
Descripción
Sumario:Several studies have been published describing the clinical and radiographic findings of coronavirus disease 2019–related pneumonia. Therefore, there is currently a lack of pathologic data on its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic parenchyma and prolonged high-pressure ventilation. Chest drainage represents first-line treatment. However, in cases of persistent pneumothorax, thoracoscopy and bleb resection may be feasible options to reduce air leak and improve ventilation. This report describes the cases of 2 patients with coronavirus disease 2019 who were successfully treated with thoracoscopy, bleb resection, and pleurectomy for persistent pneumothorax.

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