• Eur J Cardiothorac Surg · Oct 2020

    Case Reports

    Spontaneous pneumothorax and subpleural bullae in a patient with COVID-19: a 92-day observation.

    • Qianqian Fan, Feng Pan, and Lian Yang.
    • Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
    • Eur J Cardiothorac Surg. 2020 Oct 1; 58 (4): 858-860.

    AbstractThis report describes a patient with COVID-19 who developed spontaneous pneumothorax and subpleural bullae during the course of the infection. Consecutive chest computed tomography images indicated that COVID-19-associated pneumonia had damaged the subpleural alveoli and distal bronchus. Coughing might have induced a sudden increase in intra-alveolar pressure, leading to the rupture of the subpleural alveoli and distal bronchus and resulting in spontaneous pneumothorax and subpleural bullae. At the 92-day follow-up, the pneumothorax and subpleural bullae had completely resolved, which indicated that these complications had self-limiting features.© The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

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