Recurrent Pneumothorax Following First Rib Resection and Anterior Scalenectomy.

Autor: Adkins MK; 12280Wake Forest Baptist Medical Center, Winston Salem, NC 27157, USA., Faber L; 12280Wake Forest Baptist Medical Center, Winston Salem, NC 27157, USA., Freischlag J; 12280Wake Forest Baptist Medical Center, Winston Salem, NC 27157, USA.
Jazyk: angličtina
Zdroj: Vascular and endovascular surgery [Vasc Endovascular Surg] 2022 Apr; Vol. 56 (3), pp. 344-348. Date of Electronic Publication: 2022 Feb 11.
DOI: 10.1177/15385744211070086
Abstrakt: In this report, we describe a 35-year-old female with neurogenic thoracic outlet syndrome (NTOS) who presented with a post-pull pneumothorax following first rib resection and anterior scalenectomy (FRRAS). During the FRRAS, a large amount of scar tissue was observed surrounding the first rib, resulting in a tear in the pleura as the rib was resected. This created a pneumothorax which required chest tube placement and observation overnight. The patient was discharged 1 day post-operatively, feeling well but was then re-admitted 2 days later due to the presence of a recurrent pneumothorax. A chest tube was placed again, and the patient was monitored until symptom resolution. The occurrence of a post-pull pneumothorax has never been reported following FRRAS in TOS patients. The patient's symptoms have improved 4 months post operation.
Databáze: MEDLINE