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(Chest. 1994;106:262-264.)
© 1994 American College of Chest Physicians

Successful Management of Recurrent Pneumothorax in Cystic Fibrosis by Localized Apical Thoracoscopic Talc Poudrage

Marc Noppen M.D., F.C.C.P.1; Erwin Dhondt M.D.1; Tania Mahler M.D.2; Anne Malfroot M.D., Ph.D., F.C.C.P.2; Isidoor Dab M.D., F.C.C.P.2; and Walter Vincken M.D., Ph.D., F.C.C.P.1

1 From the Department of Pneumology, University Hospital AZ-VUB, University of Brussels, Belgium
2 From the Department of Pediatrics, University Hospital AZ-VUB, University of Brussels, Belgium

Thoracoscopic talc poudrage of the entire pleural surface constitutes successful treatment of recurrent pneumothorax in cystic fibrosis (CF); however, subsequent lung transplantation is seriously jeopardized due to the development of extensive pleural adhesions. We describe a 27-year-old patient with CF with recurrent right-sided pneumothorax, refractory to chest tube drainage and to chemical (tetracycline) pleurodesis, who was successfully treated with a localized, apical thoracoscopic talc poudrage, thereby preserving the possibility of subsequent lung transplantation.




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P. A. Flume
Pneumothorax in Cystic Fibrosis
Chest, January 1, 2003; 123(1): 217 - 221.
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