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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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
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author Aiolfi, Alberto
Biraghi, Tullio
Montisci, Andrea
Bonitta, Gianluca
Micheletto, Giancarlo
Donatelli, Francesco
Cirri, Silvia
Bona, Davide
author_facet Aiolfi, Alberto
Biraghi, Tullio
Montisci, Andrea
Bonitta, Gianluca
Micheletto, Giancarlo
Donatelli, Francesco
Cirri, Silvia
Bona, Davide
author_sort Aiolfi, Alberto
collection PubMed
description 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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spelling pubmed-71850142020-04-27 Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients Aiolfi, Alberto Biraghi, Tullio Montisci, Andrea Bonitta, Gianluca Micheletto, Giancarlo Donatelli, Francesco Cirri, Silvia Bona, Davide Ann Thorac Surg Case Report 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. by The Society of Thoracic Surgeons Published by Elsevier 2020-11 2020-04-27 /pmc/articles/PMC7185014/ /pubmed/32353441 http://dx.doi.org/10.1016/j.athoracsur.2020.04.011 Text en © 2020 by The Society of Thoracic Surgeons Published by Elsevier. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Case Report
Aiolfi, Alberto
Biraghi, Tullio
Montisci, Andrea
Bonitta, Gianluca
Micheletto, Giancarlo
Donatelli, Francesco
Cirri, Silvia
Bona, Davide
Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients
title Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients
title_full Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients
title_fullStr Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients
title_full_unstemmed Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients
title_short Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients
title_sort management of persistent pneumothorax with thoracoscopy and bleb resection in covid-19 patients
topic Case Report
url 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
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