We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Simultaneous bilateral primary spontaneous pneumothorax.
- Authors
Shih-Chun LEE; Yeung-Leung CHENG; Chi-Wang HUANG; Ching TZAO; Hsian-He HSU; Huang CHANG
- Abstract
Objective: While primary spontaneous pneumothorax (PSP) is common in adolescents and young adults, simultaneous bilateral PSP (SBPSP) is rare and can be life-threatening if it progresses to tension pneumothorax. This study reviewed cases of PSP to identify the clinical features of SBPSP. Methods: All patients with PSP diagnosed and treated between June 1996 and June 2006 were reviewed, and the clinicoradiological features and outcomes were evaluated. Results: Of the 616 patients with 807 episodes of PSP, 13 had SBPSP (1.6%) at first presentation, and all were male (mean age 20.9 ± 4.7 years, range 16–25 years). Compared with the non-SBPSP patients, SBPSP patients had significantly lower body weight and BMI ( P = 0.018 and <0.001, respectively) and higher body height/body weight ratio ( P = 0.004). There was no significant difference in their age, sex, smoking habits or body height. Patients with SBPSP had a significantly higher incidence of bleb/bullae seen in HRCT of the lung compared with non-SBPSP (88.5% vs 63.5%, P = 0.016). In multiple logistic regression analysis, BMI and presence of blebs/bullae were independent risk factors for SBPSP. All patients with SBPSP received bilateral video-assisted thoracoscopic surgery and recovered uneventfully. The mean follow-up period was 3.7 years (range 10 months–7 years). Conclusion: Patients with PSP having a lower BMI, and bilateral bleb/bullae formation are at higher risk for the development of SBPSP. SBPSP needs urgent assessment and management, and bilateral video-assisted thoracoscopic surgery is a safe and effective treatment.
- Subjects
PNEUMOTHORAX; CHEST endoscopic surgery; LUNG diseases; RESPIRATORY diseases; DISEASES; THERAPEUTICS
- Publication
Respirology, 2008, Vol 13, Issue 1, p145
- ISSN
1323-7799
- Publication type
Article
- DOI
10.1111/j.1440-1843.2007.01168.x