A 78-year-old male patient underwent implantation of cardiac resynchronization devise with defibrillator (CRT-D) for dilated cardiomyopathy and congestive cardiac failure. Patient received a Guidant CRT-ICD. RV lead during implantation, subclavian access was obtained by venogram assisted extra thoracic puncture of the subclavian vein. Right atrial (RA) lead was initially attempted in the right ...

We here, describe a 63-year-old man presenting with a contralateral pneumothorax following pneumonectomy. After setting up a percutaneous cardiopulmonary support (PCPS) system in advance in preparation for hypoxemia during the operation, resection of bullae was performed. His oxygen saturation and hemodynamic status were stable intraoperatively and we achieved a successful and safe operation sw...

BACKGROUND Tension pneumothorax is a potential cause of death in victims of penetrating chest trauma, but little is known about its actual prevalence. METHODS Data that are part of the Vietnam Wound Data and Munitions Effectiveness Team study were analyzed to address this question. Radiographs of 978 casualties were examined for evidence of tension pneumothorax using standard radiologic crite...

Pneumothorax is a gaseous effusion between the parietal and visceral pleura. Spontaneous pneumothorax is exceptionally bilateral hence the peculiarity of this study. The study reports the case of a 47-years old patient having 35 pack year smoking history, suffering from chronic bronchitis since 8 years, admitted to the emergency department with diffuse thoracic pain, polypnea, intercostal and s...

BACKGROUND Simultaneous bilateral primary spontaneous pneumothorax (SBPSP) is rare, but requires surgery on both sides, in patients with definite bilateral bullae to prevent life-threatening conditions. Recently, uniportal video-assisted thoracoscopic surgery (VATS) has been widely accepted as a less invasive technique for the treatment of pneumothorax. Thus, we introduced single-staged uniport...

Spontaneous contralateral pneumothorax after pneumonectomy is a rare condition. A high index of suspicion is required for a correct diagnosis. Management can be challenging, as surgical intervention, if necessary, is a very high risk procedure. Chemical pleurodesis can be a simple and effective measure in cases with no major air leak. We describe the case of a 21-year-old female with spontaneou...