VATS management of an enlarging multicystic pneumatocele.
A multicystic pneumatocele progressively enlarged when the patient required positive pressure ventilation for an intercurrent respiratory syncytial virus infection. Video Assisted Thoracoscopic Surgery was used to visualize the pneumatocele for cannulation. One chamber of the pneumatocele was cannulated with a pigtail catheter and another large chamber ruptured, without cannulation. The multicystic pneumatocele resolved with this therapy.
Department of Pediatrics, Neonatology Division, Boston University School of Medicine and Boston Medical Center, Boston, MA 02118, USA. Alan.Fujii@bmc.org
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D002404:Catheterization; D002408:Catheters, Indwelling; D019299:Decompression, Surgical / Q000379:methods*; D018450:Disease Progression; D004200:Diseases in Twins / Q000628:therapy; D005260:Female; D006611:High-Frequency Jet Ventilation / Q000009:adverse effects*; D006801:Humans; D007231:Infant, Newborn; D012127:Respiratory Distress Syndrome, Newborn / Q000601:surgery* / Q000821:virology; D018357:Respiratory Syncytial Virus Infections / Q000150:complications* / Q000628:therapy; D020775:Thoracic Surgery, Video-Assisted