[Surgical treatment of pneumothorax in AIDS patients].
A retrospective review of the charts of 26 patients with the acquired immunodeficiency syndrome (AIDS) treated at the Hotel-Dieu de Montréal was performed. Patients presented a total of 37 pneumothoraces. Eleven cases were recurrent. Bilateral pneumothoraces were documented in three patients, most of them (17) were severe (> 75%). Pneumocystis carinii pneumonia was the most frequently associated pathology. The initial treatment consisted in chest tube drainage. A definitive treatment was indicated in 7 patients with prolonged air leaks (> 10 days) or without lung expansion. Two median sternotomies with bilateral pleurectomies, bullae plication, and talcage were done, and 5 unilateral thoracotomies with pleurectomies and bullae plications were completed. The post-operative survival was variable and related to diseases associated with the syndrome. AIDS related pneumothoraces is a morbid condition which should be treated on an individual basis.
Pellerin
M
M
Département de Chirurgie, Université de Montréal, Hôtel-Dieu de Montréal, Québec, Canada.
Lafontaine
E
E
Toma
E
E
Bard
C
C
D017088:AIDS-Related Opportunistic Infections / Q000150:complications; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011020:Pneumonia, Pneumocystis / Q000150:complications; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery*; D011792:Quebec; D012189:Retrospective Studies; D012514:Sarcoma, Kaposi / Q000209:etiology
Traitement chirurgical du pneumothorax chez le patient sidéen.