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The Annals of Thoracic Surgery, Vol 54, 560-561, Copyright © 1992 by The Society of Thoracic Surgeons
T Juvonen, M Lepojarvi, R Pokela, J Juvonen and MI Kairaluoma
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 right-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.
ARTICLES
Mediastinal window: a cause of simultaneous bilateral spontaneous pneumothorax
Department of Surgery, Oulu University Hospital, Finland.
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