Management of multiple tension pneumatoceles refractory to tube thoracostomy decompression
Journal
Annals of Thoracic Surgery
Journal Volume
81
Journal Issue
4
Pages
1482-1484
Date Issued
2006
Author(s)
Abstract
A 10-month-old boy had multiple tension pneumatoceles develop 4 weeks after pneumonia with parapneumonic empyema caused by methicillin-resistant Staphylococcus aureus. The pneumatoceles failed to completely respond to tube thoracostomy drainage, and sudden onset of cardiopulmonary collapse occurred after induction of anesthesia. He was rescued by multiple percutaneous venous catheter decompressions, followed by lobectomy. Our experience showed that surgery remains the definitive treatment for pediatric patients with multiple tension pneumatoceles. However, extra caution should be taken in the preoperative management of these patients, even in the presence of tube thoracostomy. ? 2006 by The Society of Thoracic Surgeons.
SDGs
Other Subjects
article; case report; follow up; human; infant; jugular vein; lobectomy; lung collapse; male; methicillin resistant Staphylococcus aureus; physical examination; pleura empyema; pneumatocele; pneumonia; priority journal; thorax drainage; thorax radiography; Air; Cysts; Decompression, Surgical; Humans; Infant; Lung Diseases; Male; Pneumonia, Staphylococcal; Thoracostomy; Treatment Failure
Type
journal article