Post surgical pneumothorax

Case contributed by Dayu Gai
Diagnosis certain

Presentation

Day 2 post multivalvular repair

Patient Data

Age: 87
Gender: Male
x-ray

There are loss of lung markings in the left apex, with associated pleural edge, consistent with pneumothorax.

Case Discussion

All the classic signs of pneumothorax are present in this study. They include:

  • loss of peripheral lung markings
  • presence of a pleural edge
  • peripheral lung space lucency

Pneumothorax post cardiac surgery is an uncommon occurrence, with an incidence of 1.4% 1. Conservative management with chest tube insertion is considered the most appropriate intervention.

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