Noppen M, Dhondt E, Mahler T, Malfroot A, Dab I, Vincken W
Department of Pneumology, University Hospital AZ-VUB, University of Brussels, Belgium.
Chest. 1994 Jul;106(1):262-4. doi: 10.1378/chest.106.1.262.
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.
