Neumotórax espontáneo primario masivo bilateral simultáneo
Spontaneous, massive primary pneumothorax in both lungs
A. Álvarez Kindelán
, F.J. Algar Algar, A. Salvatierra Velázquez, C. Baamonde Laborda, F.J. López Pujol
Corresponding author
med015662@nacom.es
Correspondencia: Dr. A. Álvarez Kindelán. Servicio de Cirugía Torácica. Hospital Universitario Reina Sofía.Avda. Menéndez Pidal, s/n. 14004 Córdoba
Correspondencia: Dr. A. Álvarez Kindelán. Servicio de Cirugía Torácica. Hospital Universitario Reina Sofía.Avda. Menéndez Pidal, s/n. 14004 Córdoba
Servicio de Cirugía Torácica. Hospital Universitario Reina Sofía. Córdoba
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"apellidos" => "Algar Algar" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Salvatierra Velázquez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Baamonde Laborda" ] 4 => array:2 [ "nombre" => "F.J." "apellidos" => "López Pujol" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cirugía Torácica. Hospital Universitario Reina Sofía. Córdoba" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. A. Álvarez Kindelán. Servicio de Cirugía Torácica. Hospital Universitario Reina Sofía.Avda. Menéndez Pidal, s/n. 14004 Córdoba" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spontaneous, massive primary pneumothorax in both lungs" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190558" "palabras" => array:3 [ 0 => "Neumotórax bilateral simultáneo" 1 => "Drenaje pleu-ral" 2 => "Toracoscopia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190557" "palabras" => array:5 [ 0 => "Pneumothorax" 1 => "bilateral" 2 => "simultaneous" 3 => "Pleural drainage" 4 => "Thoracoscopy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El neumotórax espontáneo primario bilateral simultáneo es excepcional. Presentamos el caso de un paciente de 22 años, sin antecedentes de interés, que acudió a urgencias en situación crítica tras sufrir un episodio de neumotórax masivo bilateral simultáneo. Tras la inserción de un drenaje pleural en cada hemitórax, se indicó cirugía electiva definitiva, dada la bilateralidad y gravedad del neumotórax. El paciente fue intervenido mediante cirugía videotoracoscópica bilateral secuencial en la misma sesión operatoria, y se identificaron pequeños blebs en ambos vértices pulmonares. Se realizó una resección de los blebs y una abrasión pleural. El postoperatorio cursó sin incidencias y el enfermo fue dado de alta en el cuarto día postoperatorio. Cinco años después, el paciente se encuentra asintomático sin haber sufrido recurrencia del neumotórax</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Primary spontaneous pneumothorax in both lungs simultaneously is rare. We report the case of a 22-year-old man with no relevant medical history who came to the emergency room in critical condition after suffering simultaneous massive pneumothorax in both lungs. After a pleural drain was inserted in each hemithorax, elective surgery was prescribed because of the bilaterality and severity of the pneumothorax. Sequential video thoracoscopic surgery was performed in a single session, during which small blebs were identified at both lung vertices. The blebs were resected and pleural abrasion performed. Postoperative recovery was unremarkable. The patient was discharged four days after surgery. Five years later, the patient was asymptomatic, having expe-rienced no recurrences</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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