Percutaneous Relief of Tension Pneumomediastinum in a Child

Journal Article · Sat Nov 15 00:00:00 EST 2003 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-003-2640-Y· OSTI ID:21088336

Chau, Helen Hoi-lun; Kwok, Philip Chong-hei; Lai, Albert Kwok-hung; Fan, Tsz Wo; Chan, Susan Chi-hum ^[1]; Miu, Ting Yat; Chan, Grace Lai-har ^[2]

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1. Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Department of Radiology and Imaging, Hong Kong (China)
2. Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Pediatrics, Hong Kong (China)

The purpose of this article was to describe the experience of relieving tension pneumomediastinum by a fluoroscopic-guided percutaneous method. We inserted a percutaneous drainage catheter with a Heimlich valve under fluoroscopic guidance to relieve the tension pneumomediastinum in a 2-year-old girl who suffered from dermatomyositis with lung involvement. This allowed immediate relief without the need for surgery. The procedure was repeated for relapsed tension pneumomediastinum. Good immediate results were achieved in each attempt. We conclude that percutaneous relief of pneumomediastinum under fluoroscopic guidance can be performed safely and rapidly in patients not fit for surgery.

• OSTI ID: 21088336
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 26, Issue 6; Other Information: DOI: 10.1007/s00270-003-2640-y; Copyright (c) 2003 Springer-Verlag; Article Copyright (c) 2003 Springer-Verlag New York, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CHILDREN
LUNGS
PATIENTS
RESPIRATORY SYSTEM DISEASES
SURGERY
VALVES
VASCULAR DISEASES