Tension chylothorax following pneumonectomy

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Tension chylothorax following pneumonectomy

Post-pneumonectomy chylothorax is an uncommon complication following surgery, with an estimated incidence of less than 0.7%. Post-pneumonectomy tension chylothorax, where rapid accumulation of chyle in the post-pneumonectomy space results in hemodynamic compromise, is exceedingly rare, with just 7 cases previously reported. All prior cases of tension chylothorax were managed operatively with de...

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Chylothorax is an uncommon clinical entity caused by obstruction or rupture of the thoracic duct. Malignant disease, mostly lymphoma or metastatic carcinoma, accounts for half and surgical trauma for a quarter of all cases.' Occasionally, chylothorax is caused by thrombosis of the great veins, benign cysts, or lymphangiomas of the thoracic duct, tuberculosis, mediastinitis, paravertebral absces...

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Acute Tension Pneumothorax Following Cardiac Herniation after Pneumonectomy

A tension pneumothorax is one of the main causes of cardiac arrest in the initial postoperative period after thoracic surgery. Tension pneumothorax and cardiac herniation must be taken into account in hemodynamically unstable patients after pneumonectomy. We report an unusual case of successful treatment of acute tension pneumothorax following cardiac herniation and intrathoracic bleeding after...

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Respiratory distress following pneumonectomy.

A 60-year-old man was referred to the thoracic surgery service with a large mass in the right upper lobe of his lung. He had a 4-week history of productive cough and hemoptysis. A chest radiograph was obtained after antibiotic therapy failed to resolve the symptoms. He had no history of weight loss, fevers, or chest pain. He had smoked until 2 years prior and had an 80 pack-year history of ciga...

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Cardiac herniation following intrapericardial pneumonectomy.

Cardiac herniation is a rare, highly lethal complication of intrapericardial pneumonectomy, demanding urgent treatment. The condition presents in the immediate or early postoperative period. Cardiovascular collapse is invariably present. Elevation of the jugular venous pressure and cyanosis in the drainage area of the superior vena cava are frequently noted. Diagnosis rests on an awareness of t...

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ژورنال

عنوان ژورنال: Respiratory Medicine Case Reports

سال: 2015

ISSN: 2213-0071

DOI: 10.1016/j.rmcr.2014.11.002