RESUMO
Catamenial pneumothorax is a rare entity of spontaneous, recurrent pneumothorax occurring in synchrony with the menstrual cycle. The etiology is not completely known, but in most cases it is associated with thoracic endometriosis and/or diaphragmatic fenestrations. We report a case of a 35-year-old woman with three episodes of catamenial pneumothorax. The surgical findings were thoracic endometriosis and diaphragmatic holes. She underwent resection of the affected part of the diaphragm and pleurodesis via a mini-thoracotomy and videothoracoscopy assistance.
Assuntos
Diafragma/patologia , Endometriose/diagnóstico , Menstruação , Pneumotórax/etiologia , Doenças Torácicas/diagnóstico , Adulto , Diafragma/cirurgia , Endometriose/complicações , Endometriose/fisiopatologia , Endometriose/cirurgia , Feminino , Humanos , Pneumotórax/fisiopatologia , Pneumotórax/cirurgia , Recidiva , Doenças Torácicas/complicações , Doenças Torácicas/fisiopatologia , Doenças Torácicas/cirurgia , Cirurgia Torácica Vídeoassistida , Toracotomia , Resultado do TratamentoAssuntos
Angioplastia/métodos , Cateteres de Demora/efeitos adversos , Artéria Femoral/lesões , Balão Intra-Aórtico/efeitos adversos , Trombectomia/métodos , Arteriopatias Oclusivas/etiologia , Arteriopatias Oclusivas/cirurgia , Artéria Femoral/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Trombose/etiologia , Trombose/cirurgia , Resultado do TratamentoRESUMO
A non-sleeve resection technique was used in 15 patients requiring reconstruction of the main or secondary carina because of malignant invasion. The technique, which can be employed only in cases of partial carina invasion, utilizes healthy bronchial tissue to cover the defect after resection. The operations comprised right pneumonectomy with reconstruction of the main carina (11 cases), left lower lobectomy with reconstruction of the secondary carina (2) and right upper lobectomy (1) and right lower bilobectomy (1), both with reconstruction of the upper lobe carina. There were no intraoperative deaths or major complications, except for one bronchopleural fistula. Six patients died after 20-month to 4-year observation, six are alive (2 with and 4 without malignant disease) after 6 months to 3 years, and three have survived for more than 5 years. These initial results that our "modified sleeve resection technique" is a reliable option when the carina is partially invaded.