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Tatu Juvonen
Martti Lepojärvi
Risto Pokela
Matti I. Kairaluoma
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Ann Thorac Surg 1992;54:560-561
© 1992 The Society of Thoracic Surgeons

Articles

Mediastinal window: A cause of simultaneous bilateral spontaneous pneumothorax

Tatu Juvonen, MD, Martti Lepojärvi, MD, Risto Pokela, MD, Jukka Juvonen, MD*, Matti I. Kairaluoma, MD

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, and Department of Internal Medicine, Oulu University Hospital, Oulu, Finland

Accepted for publication December 17, 1991.

* Address reprint requests to Dr Juvonen, Department of Surgery, University of Oulu, Kajaanintie 52 A, SF-90220 Oulu, Finland.

A case of bilateral spontaneous pneumothorax with critical collapse of both lungs in a previously healthy 19-year-old woman is described. A congenital defect of mediastinal septum was suspected on the basis of roentgenographic findings and confirmed by tight-sided thoracotomy. This mediastinal window between the pleural spaces allowed air leaking from a ruptured right lung apical bulla to collapse not only the right lung but also the left. Apical TA stapler resection and right-sided parietal pleurectomy was performed to prevent recurrence.




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