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Ann Thorac Surg 2002;74:929-931
© 2002 The Society of Thoracic Surgeons

Case report

Spontaneous rupture of the right hemidiaphragm after video-assisted lung volume reduction operation

Serban C. Stoica, AFRCSEda, Stewart R. Craig, FRCS (C-Th)a, Sing Yang Soon, MRCSEda, William S. Walker, FRCSEd*a

a Department of Cardiothoracic Surgery, The Royal Infirmary, Edinburgh, United Kingdom

Accepted for publication January 23, 2002.

* Correspondence to Mr Walker, Department of Cardiothoracic Surgery, The Royal Infirmary of Edinburgh, Lauriston Place, Edinburgh EH3 9YW, UK
e-mail: wsw{at}holyrood.ed.ac.uk

Lung volume reduction operation is an important therapeutic option in patients with advanced emphysema. We report a case of spontaneous rupture of the right diaphragm after a video-assisted thoracoscopic surgical procedure for emphysema. The pathophysiology of this complication is also discussed, along with practical points for perioperative management of emphysematous patients.






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