Document Detail

Surgical management of spontaneous pneumothorax in patients with acquired immunodeficiency syndrome.
MedLine Citation:
PMID:  3257374     Owner:  NLM     Status:  MEDLINE    
Spontaneous pneumothorax has been reported with increasing frequency in patients with acquired immunodeficiency syndrome and Pneumocystis carinii pneumonia. In the past year, we treated 4 patients with spontaneous pneumothorax. All of them were treated with closed tube thoracostomy, and 1 patient with bilateral apical cysts eventually required bilateral thoracotomies and pleurectomies. Only 1 patient had an uncomplicated hospital course. The remaining patients had prolonged air leaks, and 2 had synchronous pneumothoraces. Pneumothorax appears to be associated with P. carinii pneumonia. We recommend closed tube thoracostomy as the initial treatment in symptomatic patients. Pleurectomy for air leaks persisting longer than seven days can be safely performed in patients fit for thoractomy.
A G Fleisher; G McElvaney; L Lawson; A N Gerein; D Grant; G F Tyers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  45     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1988 Jan 
Date Detail:
Created Date:  1988-02-12     Completed Date:  1988-02-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  21-3     Citation Subset:  AIM; IM; X    
Division of Cardiovascular and Thoracic Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
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MeSH Terms
Acquired Immunodeficiency Syndrome / complications*
Middle Aged
Pneumonia, Pneumocystis / complications
Pneumothorax / etiology,  surgery*
Thoracostomy / methods
Comment In:
Ann Thorac Surg. 1993 Mar;55(3):808-9   [PMID:  8452463 ]

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