Document 0008
 DOCN  M9460008
 TI    [Surgical treatment of pneumothorax in AIDS patients]
 DT    9404
 AU    Pellerin M; Lafontaine E; Toma E; Bard C; Departement de Chirurgie,
       Universite de Montreal, Hotel-Dieu; de Montreal, Quebec, Canada.
 SO    Ann Chir. 1993;47(9):844-7. Unique Identifier : AIDSLINE MED/94190020
 AB    A retrospective review of the charts of 26 patients with the acquired
       immunodeficiency syndrome (AIDS) treated at the Hotel-Dieu de Montreal
       was performed. Patients presented a total of 37 pneumothoraces. Eleven
       cases were recurrent. Bilateral pneumothoraces were documented in three
       patients, most of them (17) were severe (> 75%). Pneumocystis carinii
       pneumonia was the most frequently associated pathology. The initial
       treatment consisted in chest tube drainage. A definitive treatment was
       indicated in 7 patients with prolonged air leaks (> 10 days) or without
       lung expansion. Two median sternotomies with bilateral pleurectomies,
       bullae plication, and talcage were done, and 5 unilateral thoracotomies
       with pleurectomies and bullae plications were completed. The
       post-operative survival was variable and related to diseases associated
       with the syndrome. AIDS related pneumothoraces is a morbid condition
       which should be treated on an individual basis.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Adult  AIDS-Related
       Opportunistic Infections/COMPLICATIONS  Drainage  English Abstract
       Female  Human  Lung Neoplasms/ETIOLOGY  Male  Middle Age  Pneumonia,
       Pneumocystis carinii/COMPLICATIONS  Pneumothorax/ETIOLOGY/*SURGERY
       Quebec  Retrospective Studies  Sarcoma, Kaposi's/ETIOLOGY  JOURNAL
       ARTICLE

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