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Hemopneumothorax After Carotid Endarterectomy
Simona Formánková1, Michael Rousek1, Jiří Pudil1
1Department of Surgery Second Faculty of Medicine of Charles University and Military University Hospital Prague Prague Czech Republic.
Clinical Case Reports
|October 10, 2025
Summary
Spontaneous hemopneumothorax (SHP) is a rare condition. This case highlights SHP as a cause of sudden deterioration after vascular surgery, emphasizing prompt diagnosis and treatment.
Area of Science:
- Cardiology
- Thoracic Surgery
- Critical Care Medicine
Background:
- Spontaneous hemopneumothorax (SHP) is a rare condition involving air and blood in the pleural space without trauma.
- Postoperative complications can present atypically, requiring broad differential diagnoses.
Purpose of the Study:
- To report a case of SHP occurring after carotid endarterectomy.
- To discuss diagnostic and management strategies for SHP in the postoperative setting.
Main Methods:
- Case presentation of a patient with SHP post-carotid endarterectomy.
- Review of diagnostic imaging (chest X-ray) and surgical intervention (VATS).
Main Results:
- Patient developed sudden cardiorespiratory compromise and hemorrhagic shock postoperatively.
- Massive left-sided SHP was diagnosed and treated with chest tube insertion and VATS.
- Patient recovered fully after management of SHP and empyema.
Conclusions:
- SHP should be considered in the differential diagnosis of sudden deterioration after vascular surgery.
- Timely diagnosis and intervention are crucial for managing this life-threatening condition.
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