Institutional report - Thoracic non-oncologic Surgical treatment of catamenial pneumothorax: A single centre experience

Paola Ciriaco, Giampiero Negri, Lidia Libretti, Angelo Carretta, Giulio Melloni, Monica Casiraghi, Alessandro Bandiera, Piero Zannini

Research output: Contribution to journalArticlepeer-review

Abstract

We retrospectively reviewed our experience with catamenial pneumothorax (CP) in terms of treatment and follow-up. From 1993 to 2008, ten women presented at our department with CP. CP was right-sided in all patients: seven presented diaphragmatic defects including one endometriosis, five had apical bulla or blebs that in three patients were the only pathological findings. Surgical approach was thoracoscopic with a muscle-sparing thoracotomy when diaphragmatic defects where present. All patients underwent apical resection and apical pleurectomy associated in seven cases with diaphragmatic plication and chemical pleurodesis. After surgery nine patients underwent hormonal treatment: three were put on estrogen-progesterone complex treatment and six received gonadotropin-releasing hormone agonist (GnRH agonist). Recurrence rate was 40% and it was significantly correlated with estrogen-progesterone treatment (P

Original languageEnglish
Pages (from-to)349-352
Number of pages4
JournalInteractive Cardiovascular and Thoracic Surgery
Volume8
Issue number3
DOIs
Publication statusPublished - Mar 2009

Keywords

  • Catamenial pneumothorax
  • Hormonal therapy
  • Thoracic endometriosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

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