Pneumology - Case Reports Open access

Contralateral pneumothorax after central line placement in COVID-19 positive patients

Authors

Published
28 September 2021
Section
Pneumology - Case Reports
DOI
10.4081/monaldi.2021.1986

Abstract

Contralateral pneumothorax after percutaneous central venous catheter placement has not been previously reported. Three patients who required intubation and mechanical ventilation for acute respiratory failure due to COVID-19 were identified with a new pneumothorax on routine post-placement chest roentgenogram on the side opposite the catheter placement.  Retrospective review of charts, radiographs, and laboratory studies.  No causative relationship was identified between the percutaneous placement of the central venous catheters and the subsequent pneumothoraces identified on the contralateral side, other than the presence of active COVID-19 viral pneumonia. The timing of the contralateral pneumothoraces were coincidental the placement of the central venous catheters.  We believe these pneumothoraces were a consequence of the pulmonary pathology of the COVID-19 virus.

Keywords

References

  1. Celik B, Sahin E, Nadir A, Kaptanoglu M. Iatrogenic pneumothorax: Etiology, incidence and risk factors. Thorac Cardiovasc Surg.2009;57:286-90. DOI: https://doi.org/10.1055/s-0029-1185365
  2. Tsotsolis N, Tsirgogianni K, Kioumis I, et al. Pneumothorax as a complication of central venous catheter insertion. Ann Transl Med 2015;3:40.
  3. Pazos, F. Masterson, K. Inan, C. et al. Bilateral pneumothoraces following central venous cannulation. Case Rep Med 2009;2009:745713. DOI: https://doi.org/10.1155/2009/745713
  4. Anzueto A, Frutos-Vivar F, Esteban A, et al. Incidence, risk factors, and outcomes of barotrauma in mechanically ventilated patients. Intensive Care Med 2004;30:612-9. DOI: https://doi.org/10.1007/s00134-004-2187-7
  5. Hsu CW, Sun SF. Iatrogenic pneumothorax related to mechanical ventilation. World J Crit Care Med 2014;3:8-14. DOI: https://doi.org/10.5492/wjccm.v3.i1.8
  6. Boussarsar M, Thierry G, Jaber S, et al. Relationship between ventilatory settings and barotrauma in the acute respiratory distress syndrome. Intensive Care Med. 2002;28:406-13. DOI: https://doi.org/10.1007/s00134-001-1178-1
  7. Ioannidis G, Lazaridis G, Baka S, et al. Barotrauma and pneumothorax. J Thorac Dis 2015;7:S38-S43.
  8. Tian S, Weidong H, Niu L, et al. Pulmonary pathology of early-phase 2019 novel coronavirus (COVID-19) pneumonia in two patients with lung cancer. J Thorac Oncol 2020;15:700-4. DOI: https://doi.org/10.1016/j.jtho.2020.02.010
  9. Geng YJ, Wei ZY, Qian HY, et al. Pathophysiological characteristics and therapeutic approaches for pulmonary injury and cardiovascular complications of coronavirus disease 2019. Cardiovasc Pathol 2020;47:107228. DOI: https://doi.org/10.1016/j.carpath.2020.107228

Metrics

Citations and online attention from Dimensions, Altmetric and PlumX.

PlumX Metrics

License

Copyright (c) 2021 The Author(s)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.