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A case of simultaneous bilateral spontaneous pneumothorax after the Nuss procedure

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Abstract

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.

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Conflict of interest

All the authors have declared no competing interest.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Kofu Municipal Hospital, 366 Masutsubo, Kofu, Yamanashi, Japan

    Shunichiro Matsuoka, Masahisa Miyazawa, Kentaro Kashimoto, Hiroaki Kobayashi, Fumihiko Mitsui, Hajime Tsunoda, Kazuyoshi Kunitomo, Hisanao Chisuwa & Yoshiaki Haba

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  1. Shunichiro Matsuoka
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  2. Masahisa Miyazawa
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  3. Kentaro Kashimoto
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  4. Hiroaki Kobayashi
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  5. Fumihiko Mitsui
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  6. Hajime Tsunoda
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  7. Kazuyoshi Kunitomo
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  8. Hisanao Chisuwa
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  9. Yoshiaki Haba
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Correspondence to Masahisa Miyazawa.

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Matsuoka, S., Miyazawa, M., Kashimoto, K. et al. A case of simultaneous bilateral spontaneous pneumothorax after the Nuss procedure. Gen Thorac Cardiovasc Surg 64, 347–350 (2016). https://doi.org/10.1007/s11748-014-0489-4

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  • DOI: https://doi.org/10.1007/s11748-014-0489-4

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