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

General Thoracic and Cardiovascular Surgery volume 68, pages 1216–1219 (2020)Cite this article

Abstract

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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Affiliations

  1. Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Geumo-dong, Uijeongbu, Gyeonggi-do, 480-717, Republic of Korea

    Jung Wook Han, Jae Jun Kim & Jae-Myeong Lee

  2. Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    Yoon-Hyo Lee

Authors
  1. Jung Wook Han
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  2. Jae Jun Kim
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  3. Yoon-Hyo Lee
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  4. Jae-Myeong Lee
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Contributions

(1) Conception and design: JJK and JWH. (2) Administrative support and general supervision: JJK. (3) Provision of study materials or patients: JWH. (4) Collection and assembly of data: YHL and JML; (5) Data analysis and interpretation: JJK and YHL; (6) Manuscript writing: All authors; (8) Final approval of manuscript: All authors; (VIII) Acquisition of funding: none.

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Correspondence to Jae Jun Kim.

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Han, J.W., Kim, J.J., Lee, YH. et al. Deterioration of chest wall depression causing congestive hepatopathy after an open thoracostomy window in a patient with pectus excavatum and tuberculosis empyema. Gen Thorac Cardiovasc Surg 68, 1216–1219 (2020). https://doi.org/10.1007/s11748-019-01235-y

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  • DOI: https://doi.org/10.1007/s11748-019-01235-y

Keywords

  • Pectus excavatum
  • Open thoracostomy window
  • Congestive hepatopathy