ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Life-threatening primary simultaneous bilateral spontaneous tension pneumothorax, successfully managed with single-stage bilateral video-assisted thoracoscopic surgery
YongHun Kim 1, JunSik Yu 1, JinYong Kim2, SangMin Park2, WooSurng Lee3
1Departments of General Surgery, Konkuk University, School of Medicine, Konkuk University Chungju Hospital, Chungju-si, Chungbuk, South Korea
2Departments of Emergency Medicine, Konkuk University, School of Medicine, Konkuk University Chungju Hospital, Chungju-si, Chungbuk, South Korea
3Departments of Thoracic and Cardiovascular Surgery, Konkuk University, School of Medicine, Konkuk University Chungju Hospital, Chungju-si, Chungbuk, South Korea
DOI : 10.5606/tgkdc.dergisi.2016.11827
Primary spontaneous pneumothorax is a common disease in clinical practice and occurs most often in slender young males. Clinical presentation of primary spontaneous pneumothorax can be variable, there may be no symptoms, or mild chest pain, dyspnea or tension pneumothorax may be present. Primary spontaneous pneumothorax is rarely life-threatening; however, if this condition develops as the bilateral tension type, the patient may deteriorate abruptly, significant respiratory distress may develop, and this condition may become life-threatening. In this article, we report a 16-year-old male patient with simultaneous bilateral spontaneous tension pneumothorax and with no definite underlying lung disease. Patient presented with loss of consciousness, cyanosis, and hemodynamically unstable state, and was successfully treated with immediate closed thoracostomy drainage along with simultaneous singlestage bilateral video-assisted thoracoscopic surgery.
Keywords : Bilateral pneumothorax; pneumothorax; tension pneumothorax; video-assisted thoracoscopic surgery
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