Simultaneous bilateral spontaneous pneumothorax with pleural window communicating with bilateral pleural spaces.
A pleural window communicating between bilateral pleural cavities is a serious condition in patients with pneumothorax, allowing air to leak from the affected lung into the contralateral pleural cavity and resulting in bilateral spontaneous pneumothorax. We treated a patient with a history of right-sided bullectomy for simultaneous bilateral spontaneous pneumothorax that subsequently recurred. A pleural window (1 cm long) was detected in the mid-mediastinum, and direct suture closure with localized pleural abrasion using argon beam coagulation on the circumference of the lesion was performed at video-assisted thoracoscopic surgery.
Yamada
Shunsuke
S
Department of Thoracic Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan. yamada.shunsuke@hachioji-hosp.tokai.ac.jp
Yoshino
Kazuho
K
Inoue
Hiroshi
H
D000328:Adult; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D004322:Drainage / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010994:Pleura / Q000002:abnormalities* / Q000601:surgery; D018700:Pleurodesis / Q000379:methods; D011030:Pneumothorax / Q000175:diagnosis* / Q000601:surgery*; D001261:Pulmonary Atelectasis / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D018570:Risk Assessment; D012720:Severity of Illness Index; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome