Several studies have been published describing the clinical and radiographic findings on the novel coronavirus (COVID-19) pneumonia. Therefore, there is currently a lack of pathologic data about its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic parenchyma with prolonged high-pressure ventilation. Chest drain represent the first line treatment. However, in case of persistent pneumothorax, thoracoscopy and bleb resection may be a feasible option to reduce air leak and improve ventilation. We report the cases of two COVID-19 patients successfully treated with thoracoscopy, bleb resection, and pleurectomy for persistent pneumothorax.

Management of persistent pneumothorax with thoracoscopy and blebs resection in COVID-19 patients / A. Aiolfi, T. Biraghi, A. Montisci, G. Bonitta, G. Micheletto, F. Donatelli, S. Cirri, D. Bona. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - (2020 Apr 27). [Epub ahead of print] [10.1016/j.athoracsur.2020.04.011]

Management of persistent pneumothorax with thoracoscopy and blebs resection in COVID-19 patients

A. Aiolfi
;
G. Micheletto;F. Donatelli;D. Bona
2020

Abstract

Several studies have been published describing the clinical and radiographic findings on the novel coronavirus (COVID-19) pneumonia. Therefore, there is currently a lack of pathologic data about its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic parenchyma with prolonged high-pressure ventilation. Chest drain represent the first line treatment. However, in case of persistent pneumothorax, thoracoscopy and bleb resection may be a feasible option to reduce air leak and improve ventilation. We report the cases of two COVID-19 patients successfully treated with thoracoscopy, bleb resection, and pleurectomy for persistent pneumothorax.
COVID-19; latrogenic pneumothorax; thoracoscpy
Settore MED/10 - Malattie dell'Apparato Respiratorio
Settore MED/21 - Chirurgia Toracica
Settore MED/18 - Chirurgia Generale
Settore MED/23 - Chirurgia Cardiaca
27-apr-2020
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/732638
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