A case of simultaneous bilateral spontaneous pneumothorax after the Nuss procedure

We present a case of simultaneous bilateral spontaneous pneumothorax caused by a pleuro-pleural communication formed from Nuss procedure for pectus excavatum. A 17-year-old man with a history of Nuss operation complained chest pain and dyspnea. A chest roentgenogram demonstrated a tiny bilateral pne...

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Bibliographic Details
Published in:	General thoracic and cardiovascular surgery Vol. 64; no. 6; pp. 347 - 350
Main Authors:	Matsuoka, Shunichiro, Miyazawa, Masahisa, Kashimoto, Kentaro, Kobayashi, Hiroaki, Mitsui, Fumihiko, Tsunoda, Hajime, Kunitomo, Kazuyoshi, Chisuwa, Hisanao, Haba, Yoshiaki
Format:	Journal Article
Language:	English
Published:	Tokyo Springer Japan 01-06-2016 Springer Nature B.V
Subjects:	Adolescent Cardiac Surgery Cardiology Case Report Chest Tubes - adverse effects Chronic obstructive pulmonary disease Communication Dyspnea Dyspnea - etiology Funnel Chest - surgery Humans Male Medicine Medicine & Public Health Pleura Pneumothorax Pneumothorax - diagnostic imaging Pneumothorax - etiology Pneumothorax - surgery Postoperative Complications - surgery Radiography, Thoracic Reoperation Respiratory Tract Fistula - etiology Rupture, Spontaneous - etiology Surgery Surgical Instruments - adverse effects Surgical Oncology Thoracic Surgery Tomography, X-Ray Computed Treatment Outcome Tuberculosis Simultaneous bilateral pneumothorax Nuss procedure
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Summary:	We present a case of simultaneous bilateral spontaneous pneumothorax caused by a pleuro-pleural communication formed from Nuss procedure for pectus excavatum. A 17-year-old man with a history of Nuss operation complained chest pain and dyspnea. A chest roentgenogram demonstrated a tiny bilateral pneumothorax and two metallic bars inserted at the Nuss procedure. Computed tomography revealed furthermore a bulla in the apex of the left lung. The bilateral pneumothorax critically deteriorated after 4 days from onset and urgent bilateral chest drainages were performed. Nevertheless the drainages the full expansion of both lungs was not obtained and air leakage only from left side was continued. A video-assisted left bullectomy was performed 9 days after the tube insertion. The two bars penetrating anterior mediastinal pleura were thought to be a cause of the simultaneous bilateral spontaneous pneumothorax.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1863-6705 1863-6713
DOI:	10.1007/s11748-014-0489-4