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Thierry Roth
Marco Alifano
Pierre Magdeleinat
Jean-François Regnard
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Ann Thorac Surg 2002;75:1684
© 2002 The Society of Thoracic Surgeons

Correspondence

Reply

Thierry Roth, MDa, Marco Alifano, MDa, Olivier Schussler, MD, PhDa, Pierre Magdeleinat, MDa, Jean-François Regnard, MDa

a Chirurgia Toracica, Ospedale Bellaria, Via Altura 3, 40139 Bologna, Italy

(Email: marcoalifano{at}yahoo.com).

To the Editor:

We thank Dr Tripp for his attention to our work. We completely agree that an effort should be made to increase knowledge about pathogenic mechanisms and to identify optimal diagnostic tools. This will be particularly difficult as catamenial pneumothorax is generally considered an extremely rare condition. However the increasing number of case reports of catamenial pneumothorax prompts us to hypothesize that the condition is actually recognized with less difficultly as compared with past decades. The extensive use of video-assisted thoracoscopy and video-assisted thoracic surgery is probably responsible for this easier diagnosis.

The optimal treatment of catamenial pneumothorax is not known. Although on the basis of actual knowledge we recommend the association of video-assisted thoracoscopy (or video-assisted thoracic surgery) with ovarian suppression, this requires confirmation by larger studies.

We think that Dr Tripp’s idea of a registry is intriguing and would allow the collection of hundreds of cases worldwide. It probably would be useful to establish prior guidelines to help physicians in suspecting and in confirming the diagnosis of catamenial pneumothorax. The registry would represent a powerful tool to better understand the condition and provide answers about optimal management of these young women.





This Article
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Thierry Roth
Marco Alifano
Pierre Magdeleinat
Jean-François Regnard
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Right arrow Articles by Roth, T.
Right arrow Articles by Regnard, J.-F.

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