Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery

A 64-year-old Japanese man presented with dyspnea and shortness of breath during exertion. Chest computed tomography revealed bilateral pleural effusion. He was drowsy because of CO2 storage and died due to ventilatory impairment. His past medical history included a thymectomy and adjuvant radiother...

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Autores principales:	Takashi Touma, MD, Ryosyu Taira, MD, Touru Makida, MD, Katuhiko Oshiro, MD, Takafumi Miyara, MD, Yoji Taba, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Diffuse pleural thickening Pleural effusion Cardiac surgery Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/2f1b2e26713e4ca8b9cbcf0f8a914920
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spelling	oai:doaj.org-article:2f1b2e26713e4ca8b9cbcf0f8a9149202021-11-30T04:14:50ZMarked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery1930-043310.1016/j.radcr.2021.09.050https://doaj.org/article/2f1b2e26713e4ca8b9cbcf0f8a9149202022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1930043321007007https://doaj.org/toc/1930-0433A 64-year-old Japanese man presented with dyspnea and shortness of breath during exertion. Chest computed tomography revealed bilateral pleural effusion. He was drowsy because of CO2 storage and died due to ventilatory impairment. His past medical history included a thymectomy and adjuvant radiotherapy with thymoma. He had undergone cardiac surgery and permanent pacemaker implantation. The autopsy examination revealed extensive bilateral pleural adhesions and diffuse visceral pleural thickening. An inspection of multiple lung sections failed to detect any asbestos body formation or mesothelioma. The patient's pleural effusion and diffuse pleural thickening may have exacerbated after cardiac surgery. In this case, the progression and pathophysiology of the pleural thickening could be traced by imaging and an autopsy, and we were able to estimate the factors that exacerbated the pleural thickening and ventilation impairment.Takashi Touma, MDRyosyu Taira, MDTouru Makida, MDKatuhiko Oshiro, MDTakafumi Miyara, MDYoji Taba, MDElsevierarticleDiffuse pleural thickeningPleural effusionCardiac surgeryMedical physics. Medical radiology. Nuclear medicineR895-920ENRadiology Case Reports, Vol 17, Iss 1, Pp 1-4 (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diffuse pleural thickening Pleural effusion Cardiac surgery Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	Diffuse pleural thickening Pleural effusion Cardiac surgery Medical physics. Medical radiology. Nuclear medicine R895-920 Takashi Touma, MD Ryosyu Taira, MD Touru Makida, MD Katuhiko Oshiro, MD Takafumi Miyara, MD Yoji Taba, MD Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery
description	A 64-year-old Japanese man presented with dyspnea and shortness of breath during exertion. Chest computed tomography revealed bilateral pleural effusion. He was drowsy because of CO2 storage and died due to ventilatory impairment. His past medical history included a thymectomy and adjuvant radiotherapy with thymoma. He had undergone cardiac surgery and permanent pacemaker implantation. The autopsy examination revealed extensive bilateral pleural adhesions and diffuse visceral pleural thickening. An inspection of multiple lung sections failed to detect any asbestos body formation or mesothelioma. The patient's pleural effusion and diffuse pleural thickening may have exacerbated after cardiac surgery. In this case, the progression and pathophysiology of the pleural thickening could be traced by imaging and an autopsy, and we were able to estimate the factors that exacerbated the pleural thickening and ventilation impairment.
format	article
author	Takashi Touma, MD Ryosyu Taira, MD Touru Makida, MD Katuhiko Oshiro, MD Takafumi Miyara, MD Yoji Taba, MD
author_facet	Takashi Touma, MD Ryosyu Taira, MD Touru Makida, MD Katuhiko Oshiro, MD Takafumi Miyara, MD Yoji Taba, MD
author_sort	Takashi Touma, MD
title	Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery
title_short	Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery
title_full	Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery
title_fullStr	Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery
title_full_unstemmed	Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery
title_sort	marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/2f1b2e26713e4ca8b9cbcf0f8a914920
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Marked ventilation impairment due to progression of diffuse pleural thickening after cardiac surgery

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