Deterioration of chest wall depression causing congestive hepatopathy after an open thoracostomy window in a patient with pectus excavatum and tuberculosis empyema

A 27-year-old man with severe pectus excavatum, dextrocardia and spinal scoliosis underwent thoracoscopic pleural decortication due to failure of 1-month medical treatment for tuberculous empyema. One month after the pleural decortication, he again underwent open thoracostomy window for repetitive p...

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Veröffentlicht in:General thoracic and cardiovascular surgery 2020-10, Vol.68 (10), p.1216-1219
Hauptverfasser: Han, Jung Wook, Kim, Jae Jun, Lee, Yoon-Hyo, Lee, Jae-Myeong
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container_issue 10
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container_title General thoracic and cardiovascular surgery
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creator Han, Jung Wook
Kim, Jae Jun
Lee, Yoon-Hyo
Lee, Jae-Myeong
description A 27-year-old man with severe pectus excavatum, dextrocardia and spinal scoliosis underwent thoracoscopic pleural decortication due to failure of 1-month medical treatment for tuberculous empyema. One month after the pleural decortication, he again underwent open thoracostomy window for repetitive pleuro-cutaneous fistula with tuberculosis empyema. He was subsequently referred to our clinic for progressive dyspnea and bilateral leg edema 4 months after the open thoracostomy window. Evaluations revealed deterioration of the chest wall depression and further compression of the inferior vena cava, which were considered an aggravation of the pectus excavatum after the open thoracostomy window. Herein, we present an extremely rare case of deterioration of chest wall depression causing congestive hepatopathy after an open thoracostomy window in a patient with pectus excavatum and tuberculosis empyema.
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subjects Adult
Cardiac Surgery
Cardiology
Case Report
Cutaneous Fistula - etiology
Cutaneous Fistula - surgery
Dyspnea
Edema
Empyema, Tuberculous - complications
Empyema, Tuberculous - surgery
Fistula
Funnel Chest - complications
Humans
Liver Diseases - etiology
Male
Medicine
Medicine & Public Health
Patients
Pleural effusion
Respiratory Tract Fistula - surgery
Scoliosis
Surgical Oncology
Thoracic Surgery
Thoracic Wall
Thoracostomy - adverse effects
Tomography
Tuberculosis
title Deterioration of chest wall depression causing congestive hepatopathy after an open thoracostomy window in a patient with pectus excavatum and tuberculosis empyema
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