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The Annals of Thoracic Surgery, Vol 45, 21-23, Copyright © 1988 by The Society of Thoracic Surgeons
AG Fleisher, G McElvaney, L Lawson, AN Gerein, D Grant and GF Tyers
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.
ARTICLES
Surgical management of spontaneous pneumothorax in patients with acquired immunodeficiency syndrome
Division of Cardiovascular and Thoracic Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
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