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Case Reports
Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients.
- Alberto Aiolfi, Tullio Biraghi, Andrea Montisci, Gianluca Bonitta, Giancarlo Micheletto, Francesco Donatelli, Silvia Cirri, and Davide Bona.
- Department of Biomedical Science for Health, Division of General Surgery, Sant'Ambrogio Clinical Institute, University of Milan, Milan, Italy. Electronic address: alberto.aiolfi86@gmail.com.
- Ann. Thorac. Surg. 2020 Nov 1; 110 (5): e413-e415.
AbstractSeveral studies have been published describing the clinical and radiographic findings of coronavirus disease 2019-related pneumonia. Therefore, there is currently a lack of pathologic data on its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic parenchyma and prolonged high-pressure ventilation. Chest drainage represents first-line treatment. However, in cases of persistent pneumothorax, thoracoscopy and bleb resection may be feasible options to reduce air leak and improve ventilation. This report describes the cases of 2 patients with coronavirus disease 2019 who were successfully treated with thoracoscopy, bleb resection, and pleurectomy for persistent pneumothorax.© 2020 by The Society of Thoracic Surgeons Published by Elsevier.
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