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Full medical treatment of COVID-19 associated large pneumothorax - A case report.
Fantin, Alberto; Castaldo, Nadia; Vailati, Paolo; Morana, Giuseppe; Patruno, Vincenzo.
  • Fantin A; Department of Pulmonology, University Hospital of Udine (ASUFC), Udine. alberto.fantin@asufc.sanita.fvg.it.
  • Castaldo N; Department of Pulmonology; Department of Infectious Disease, University Hospital of Udine (ASUFC), Udine. nadia.castaldo@asufc.sanita.fvg.it.
  • Vailati P; Department of Pulmonology, University Hospital of Udine (ASUFC), Udine. paolo.vailati@asufc.sanita.fvg.it.
  • Morana G; Department of Pulmonology, University Hospital of Udine (ASUFC), Udine. giuseppe.morana@asufc.sanita.fvg.it.
  • Patruno V; Department of Pulmonology, University Hospital of Udine (ASUFC), Udine. vincenzo.patruno@asufc.sanita.fvg.it.
Monaldi Arch Chest Dis ; 92(1)2021 Sep 28.
Article in English | MEDLINE | ID: covidwho-2258728
ABSTRACT
A 52-year-old man was re-admitted two weeks after recovering from severe COVD-19 following a 3-days history of cough and worsening shortness of breath. The chest radiograph showed a large right-sided pneumothorax. The first attempt at drainage, performed through a large bored tube, failed. Due to the large dimension of the pneumothorax, and the lung condition (extensive consolidation and diffuse bullous dystrophies), the only thoracic surgical approach prospected was a pneumonectomy. Willing to preserve the lung, the pulmonology team attempted a multi-phase medical-oriented strategy based on medical thoracoscopy. Therefore, the patient underwent 5 chest tube insertions, 2 talc pleurodesis, and an intrapleural blood patch. Air leakage resolution was progressively achieved, and the patient became asymptomatic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumothorax / COVID-19 Type of study: Case report / Prognostic study Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumothorax / COVID-19 Type of study: Case report / Prognostic study Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article