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History of spontaneous pneumothorax COVID risk

Does COVID-19 Increase the Risk for Spontaneous Pneumothorax? Does COVID-19 Increase the Risk for Spontaneous Pneumothorax? Am J Med Sci. 2020 Jul 16;S0002-9629(20)30320-7. doi: 10.1016/j.amjms.2020.07.024. Online ahead of print. Authors Vanessa Carvalho do. Wong, Kelvin, et al. Pneumothorax in COVID-19 Acute Respiratory Distress Syndrome: Case Series. Cureus 12.11 (2020). Miró, Òscar, et al. Frequency, risk factors, clinical characteristics, and outcomes of spontaneous pneumothorax in patients wit h coronavirus disease 2019: a case- control, emergency medicine

Spontaneous pneumothorax has been reported in SARS-COVID-19 pneumonia patients. Pneumothorax refers to the presence of air within the chest cavity, and it can be classified as spontaneous or traumatic pneumothorax. Traumatic pneumothorax occurs secondary to trauma, including iatrogenic trauma as during central line insertion COVID-19-associated secondary spontaneous pneumothorax (SP) is a significant cause of morbidity, and many COVID-19 cases with SP at the time of initial diagnosis or during treatment have been reported [ 4 ]. However, late-onset SP in patients who recovered from COVID-19 is unusual Barotrauma and high positive pressure in the lungs may cause complications like pneumothorax (PX), pneumomediastinum or subcutaneous emphysema leading to lengthened duration of intensive care admission and increased mortality of patients [3,4]

Does COVID-19 Increase the Risk for Spontaneous Pneumothorax

Coronavirus disease 2019 (COVID-19) is an infectious disease primarily affecting the lungs with a spectrum of post-viral complications. There are well-described examples of pneumonia, empyema, pneumomediastinum, and spontaneous pneumothorax cases following COVID-19 infection within the literature. However, there is insufficient evidence implicating the cause of spontaneous pneumothorax in. A case report yesterday out of China highlights the importance of being on guard for spontaneous pneumothorax, or sudden collapsed lung, especially in COVID-19 patients who have prolonged severe lung damage. Studies have also suggested that other coronaviruses may contribute to pneumothorax

Spontaneous pneumothorax represents air trapped within the pleural space that develops without antecedent trauma. Current understanding regarding the epidemiology of spontaneous pneumothorax has been informed by small studies performed at single medical centers or retrospective reviews of national data registries. 1,2 The overall incidence of spontaneous pneumothorax has been estimated at 17. The diagnosis of spontaneous pneumothorax should be considered in any patient with known or suspected recent COVID-19 infection who presents with new acute symptoms consistent with pneumothorax or sudden clinical deterioration. Keywords: spontaneous pneumothorax, pneumothorax, complication, COVID-19, SARS-CoV- CT is a useful tool not only for the diagnosis of COVID-19 infection but also of its complications. SARS-CoV-2 infection can induce severe and delayed complications such as pneumothorax. In case of sudden respiratory symptoms in a patient with previous SARS-CoV-2 infection, spontaneous pneumothorax should be excluded Background: Spontaneous pneumomediastinum (SPM) is an uncommon condition in COVID-19 patients. No information about outcome or risk factors is available at the time. The aim of this research is to report on the frequency and risk factors of spontaneous pneumomediastinum in COVID-19 patients

COVID-19 pneumonia may cause cystic features of lung parenchyma which can resolve or progress to larger blebs [ 1, 2 ]. This can place patients at risk for rupture resulting in mediastinal and subcutaneous emphysema or secondary spontaneous pneumothorax In view of the history, examination and radiological findings, it is highly likely this patient had been suffering from COVID-19, which was then complicated by a pneumothorax. A tension pneumothorax, possibly secondary to underlying COVID-19, was diagnosed The following cases outline the clinical course of two patients with COVID-19 pneumonia who developed spontaneous pneumomediastinum (SPM), pneumoperi- cardium (SPP), pneumothorax, and subcutaneous em- physema without positive pressure ventilation. These findings are extremely rare with only a few similar cases in English literature to date [4, 5] Background Spontaneous pneumothorax has been reported as a possibile complication of novel coronavirus associated pneumonia (COVID-19). We report two cases of COVID-19 patients who developed spontaeous and recurrent pneumothorax as a presenting symptom, treated with surgical procedure. An insight on pathological finding is given

COVID-Induced Spontaneous Pneumothoraxes: Case Serie

  1. A pneumothorax can be spontaneous or may arise in a person known to have cystic (bullous) lung disease. Forceful coughing from a respiratory infection may cause a pneumothorax but there is no way to know if this is a particular risk in an individual unless they have had a pneumothorax before
  2. g ill with COVID-19. Different factors affect your risk of beco
  3. Spontaneous pneumothorax can be either small or large. A small spontaneous pneumothorax may resolve without treatment, while larger pneumothorax may need surgical intervention. In most cases of spontaneous pneumothorax, the cause is unknown. Tall and thin adolescent males are typically at greatest risk, but females can also have this condition

Spontaneous pneumothorax as a complication of COVID-19 infection has been described, with a majority implicating barotrauma, following mechanical ventilation in an already compromised lung, as a probable etiology [ 1, 2 ] A spontaneous pneumothorax is a collapsed lung. Part or all of the lung may collapse. Air collects in the pleural space (the space between the lungs and chest wall). The trapped air prevents your lung from filling, and the lung collapses. A spontaneous pneumothorax can happen in one or both lungs. A primary spontaneous pneumothorax occurs in a. COVID-19 with spontaneous pneumomediastinum. A 38-year-old man from Wuhan, China, was admitted to the Central Hospital of Wuhan (Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China), on Jan 20, 2020, with a 1-day history of fever without dizziness, cough, and headaches. On presentation, his temperature was 38·1°C risk factors for pneumothorax, such as a history of trauma, smoking, past intubations, asthma, high pressure oxygen delivery, or a history of prior pneumothorax. The only positive diagnostic test was a SARS-CoV-2 test by real-time reverse transcriptase-polymerase chain reaction assay

Primary spontaneous pneumothorax is likely due to the formation of small sacs of air (blebs) in lung tissue that rupture, causing air to leak into the pleural space. Air in the pleural space creates pressure on the lung and can lead to its collapse Although spontaneous pneumothorax as a form of coronavirus disease 2019 (COVID-19) presentation at the emergency department (ED) was unusual, it was more frequently seen in patients with COVID-19 compared to patients without COVID-19, and may be associated with worse outcomes than spontaneous pneumothorax alone or COVID-19 without spontaneous pneumothorax, according to the results of a case. Spontaneous pneumothorax represents a common clinical problem. An overview of relevant and updated information on epidemiology, pathophysiology and cause (s) of spontaneous (primary and secondary) pneumothorax is described. Pneumothorax is defined as the presence of air in the pleural space. Although intrapleural pressures are negative. Spontaneous pneumothorax has also been described, although it is relatively uncommon . In a retrospective review of over 70,000 patients with COVID-19 evaluated in emergency departments throughout Spain, spontaneous pneumothorax was identified in 40 patients (0.56 percent)

Secondary spontaneous pneumothorax occurs in the presence of known lung disease and is associated with increased symptoms, morbidity, and rates of tension pneumothorax. Immediate recognition and management of tension pneumothorax is required to prevent death. Smoking increases the risk of pneumothorax and rates of recurrence, and smoking. Mitani A, Hakamata Y, Hosoi M, et al. The incidence and risk factors of asymptomatic primary spontaneous pneumothorax detected during health check-ups. BMC Pulm Med 2017; 17:177. Melton LJ 3rd, Hepper NG, Offord KP. Influence of height on the risk of spontaneous pneumothorax. Mayo Clin Proc 1981; 56:678 Although COVID-19 vaccine efficacy is unknown in these groups, immunocompromised people might be at increased risk for severe COVID-19, and the potential benefit of COVID-19 vaccination outweighs the uncertainties. However, data suggest immune response to COVID-19 vaccination might be reduced in some immunocompromised people including, but not.

COVID-19 Impact on Licensing and Certification Issue 2 Catamenial Hemopneumothorax: An Unusual Presentation of Spontaneous Pneumothorax Back to Volume 2, Issue 2 with judicious use of preprocedural angioembolization of collateral bronchial vessels in patients at high risk for vascular involvement. 11 Some 10% to 12% of patients with spontaneous pneumothorax have a family history, termed familial spontaneous pneumothorax (FSP) (4, 5).The male:female ratio in FSP is 1.7:1 (), less skewed than for all spontaneous pneumothoraces (2.1:1 to 6.2:1) (13-16).The risk of recurrent pneumothorax may be higher in FSP (68-72%) (6, 17) than in sporadic pneumothorax (13-54%) (11-13; 18), although. Whereas some patients with COVID-19 developed pneumothorax in association with risk factors, such as mechanical ventilation, in others the only factor was the viral pneumonia itself 19 19. Ucpinar BA, Sahin C, Yanc U. Spontaneous pneumothorax and subcutaneous emphysema in COVID-19 patient: case report. J Infect Public Health 2020;13:887-9.. In. Preliminary findings did not show obvious safety signals among pregnant persons who received mRNA Covid-19 vaccines. However, more longitudinal follow-up, including follow-up of large numbers of.

Spontaneous pneumothorax has been seen in patients with uncomplicated and The patient is a 30 year old female with medical history notable for stage IV it is possible that COVID-19 infection increased her risk for pneumothorax. Abstract 79 . References QUICK TAKE Conservative Treatment of Spontaneous Pneumothorax 01:37. The annual rate of hospitalization for spontaneous pneumothorax among persons 15 years of age or older in England is. The incidence of spontaneous pneumothorax is 7.4 to 18 cases per 100,000 population in men per year. In women, the reported incidence is 1.2 to six cases per 100,000 population per year. The. Primary spontaneous pneumothorax is an abnormal accumulation of air in the pleural space (the space between the lungs and the chest cavity) that can result in the partial or complete collapse of a lung. It is called primary because it occurs in the absence of lung disease such as emphysema and spontaneous because the pneumothhorax was not caused by an injury such as a rib fracture

COVID-19 Resource Centre will have a higher risk of recurrence than a patient with a small rim of primary spontaneous pneumothorax and no other risk factors. represent a group at a higher risk of recurrence than patients with no such lung abnormalities because the natural history of their pneumothorax may more closely resemble secondary. ICD-10-CM code U07.1, COVID-19, may be used for discharges/date of service on or after April 1, 2020. For more information on this code, click here.The code was developed by the World Health Organization (WHO) and is intended to be sequenced first followed by the appropriate codes for associated manifestations when COVID-19 meets the definition of principal or first-listed diagnosis

A: Thoracic X-ray (anterior-posterior) from patient 1

An unusual cause of spontaneous pneumothorax: Post-COVID

Risk Factors of Spontaneous Pneumothorax. Sex: . Young men 20-30 years old may develop a collapsed lung that is usually associated with a bleb (like a blister) on the surface of the lung; Women age 30-40 may develop catamenial PTX associated with Endometriosis and their menstrual cycle,; Genetic: Birt Hogg Dube(BHD) syndrome is an autosomal dominant genetic disorder that causes pneumothorax. Chronic recurring spontaneous pneumothorax is a relatively common disorder which usually results from rupture of subpleural blebs. Endometriosis of the diaphragm, on the other hand, is an exceedingly rare lesion and, as nearly as can be determined, has never been reported in association with, or as a cause of, unilateral recurring pneumothorax

Spontaneous pneumomediastinum (PMS) is defined as free air within the mediastinum. Spontaneous pneumothorax (PNX) consists of the presence of air inside the pleural space. PMS and PNX may sometimes occur secondly to an underlying pathology, or deriving from a sudden increase in intra-alveolar pressure such as functional alteration such as. Primary spontaneous pneumothorax is an abnormal accumulation of air in the space between the lungs and the chest cavity (called the pleural space) that can result in the partial or complete collapse of a lung. Explore symptoms, inheritance, genetics of this condition Diagnosis of catamenial pneumothorax is dependent on history with histological examination of lesions. Endometrial tissue, however, may be absent in some cases, as seen with our patient. Although the lack of tissue in her case did not preclude the diagnosis of thoracic endometriosis, it is possible that COVID-19 infection increased her risk for. Primary spontaneous. Spontaneous pneumothoraces are divided into two types: primary, which occurs in the absence of known lung disease, and secondary, which occurs in someone with underlying lung disease. The cause of primary spontaneous pneumothorax is unknown, but established risk factors include being of the male sex, smoking, and a family history of pneumothorax Secondary spontaneous pneumothorax (SSP) can occur with various underlying lung conditions, including COPD, tuberculosis, sarcoidosis, cystic fibrosis, malignancy, and idiopathic pulmonary fibrosis. It may also occur with Pneumocystis jirovecii infection in AIDS. Over 10% of patients with PSP report a positive family history of the disease

Serious complications in COVID-19 ARDS cases: pneumothorax

Collapsed Lung (Pneumothorax) A collapsed lung occurs when air gets inside the chest cavity (outside the lung) and creates pressure against the lung. Also known as pneumothorax, collapsed lung is a rare condition that may cause chest pain and make it hard to breathe. A collapsed lung requires immediate medical care. Appointments 216.444.6503

Spontaneous pneumothorax is caused by a rupture of a cyst or a small sac (bleb) on the surface of the lung. Pneumothorax may also occur following an injury to the chest wall such as a fractured rib, any penetrating injury (gunshot or stabbing), surgical invasion of the chest, or may be deliberately induced in order to collapse the lung Pneumothorax. A pneumothorax describes the condition in which air has become trapped next to a lung. Most cases occur 'out of the blue' in healthy young men. Some develop as a complication from a chest injury or a lung disease. The common symptom is a sudden sharp chest pain followed by pains when you breathe in Based on early safety monitoring, anaphylaxis after the Pfizer-BioNTech COVID-19 vaccine appears to be a rare event; however, comparisons of anaphylaxis risk with that associated with non-COVID-19 vaccines are constrained at this time by the limited data available this early in the COVID-19 vaccination program Risk Factors. The following factors increase your chance of developing pneumothorax: Spontaneous pneumothorax occurs most often in tall, thin men who are between the ages of 20-40; Smoking; Having a family history of pneumothorax; Having other lung diseases such as COPD, asthma, cystic fibrosis, tuberculosis, or pertussi Catamenial pneumothorax is an extremely rare condition that affects women. Pneumothorax is the medical term for a collapsed lung, a condition in which air or gas is trapped in the space surrounding the lungs causing the lungs to collapse. Women with catamenial pneumothorax have recurrent episodes of pneumothorax that occur within 72 hours.

Cureus Secondary Spontaneous Pneumothorax in a COVID-19

Pneumothorax is defined as the sudden appearance of air in the chest outside of a lung (between the lung and the chest wall). It may be spontaneous (primary/idiopathic - no lung cause found) or as a complication of an underlying acute or chronic lung disorder (secondary). Iatrogenic pneumothorax occurs as result of a surgical. Secondary spontaneous pneumothorax (SSP) occurs in people with a wide variety of parenchymal lung diseases.{ref2} These individuals have underlying pulmonary pathology that alters normal lung.

Another possible COVID complication: 'Punctured lung' CIDRA

The medical name of this condition is pneumothorax. Alternative Names. Air around the lung; Air outside the lung; Pneumothorax dropped lung; Spontaneous pneumothorax. Causes. Collapsed lung can be caused by an injury to the lung. Injuries can include a gunshot or knife wound to the chest, rib fracture, or certain medical procedures A pneumothorax is commonly known as a collapsed lung. Normally, the outer surface of the lung sits next to the inner surface of the chest wall. The lung and the chest wall are covered by thin membranes called pleura. A collapsed lung occurs when air escapes from the lungs or leaks through the chest wall and enters the space between the two.

Pneumothorax emerging as a new complication Of COVID-19

The risk of spontaneous pneumothorax is correlated with amount and duration of tobacco smoke exposure. 16 Pathologic changes induced by cigarette smoke in small airways might also lead to localized emphysema with subsequent development of blebs or bullae. 17-21 Bullae and blebs are each distinctive lesions, found in different anatomic locations Pneumothorax is condition in which air (pneumo) gets into the space between your chest (thorax) and lung. There are three types: Spontaneous pneumothorax: A spontaneous pneumothorax is a collection of air or gas in the chest that causes a lung to collapse.It is frequently caused by rupture of pulmonary blebs and is more common in smokers A primary spontaneous pneumothorax (PSP) occurs when the person has no known history of lung disease. The direct cause of PSP is unknown. At-risk groups for primary spontaneous pneumothorax include The Birt-Hogg-Dubé syndrome, a genodermatosis characterized by benign tumors of the hair follicle, has been associated with renal and colonic neoplasms and spontaneous pneumothorax, but the risk of developing these disorders is unknown. We identified risk factors for renal tumors and spontaneous pneumothorax in 98 patients affected with the Birt-Hogg-Dubé syndrome, in 13 Birt-Hogg-Dubé. Some people may need to temporarily breathe oxygen from a container to help. If the lung has collapsed farther, your doctor may use a needle or tube to suck the extra air from the chest. If there.

Spontaneous pneumothorax is further subclassified into primary and secondary. A primary spontaneous pneumothorax occurs without a triggering event in an otherwise normal lung. Most commonly, an individual at risk of primary spontaneous pneumothorax is a tall, thin, young male presenting with symptoms that started at rest Pneumothorax is a lung disorder in which air in the lungs leaks out through holes in the lung tissue into the spaces outside the lung airways. Pneumothorax is one type of lung disorders called air leak syndrome. A baby can have more than one form of air leak. Types of air leaks include the following However, there are other types of pneumothorax including a spontaneous type which can occur in otherwise healthy people with no history of chest trauma. This type appears to have a genetic factor. Pneumothorax is the buildup of air or gas in the pleural space (the space between the lung and chest wall), which causes the lung to collapse. This may be caused by physical trauma to the lung, such as a wound. When there is no apparent cause, the condition is known as spontaneous pneumothorax your doctor or GP has classed you as clinically extremely vulnerable because they think you're at high risk of getting seriously ill. you've been identified as possibly being at high risk through the COVID-19 Population Risk Assessment. you've had an organ transplant. you're having chemotherapy or antibody treatment for cancer, including.

Covid-19 and its impact on people who had a pneumothorax

The primary thing that leaves someone more susceptible to viruses are immune system weaknesses. I would say that most of our primary pneumothorax cases are due to structural weaknesses, which shouldn't really impact our body's ability to fight off CoVID. 5. level 2. _deafmute Table 3: Differential Diagnosis of CT Ground-Glass Opacities in the COVID-19 Era. Kim et al ( 31) performed a meta-analysis to assess the diagnostic performance of CT and RT-PCR ( 31 ). For chest CT, the positive predictive value ranged from 1.5% to 30.7% and the negative predictive value ranged from 95.4% to 99.8% Pneumothorax. Primary spontaneous pneumothorax rarely happens during strenuous exercise.71 Once sealed, the rate of re-absorption of air in the pleural space is 1.24% of the volume of the pneumothorax in each 24 h72 so recovery can take 16 days for a 20% pneumothorax. The main risk of pneumothorax is discomfort and pain rather than death A woman in the Netherlands had recovered after a seemingly mild COVID-19 infection when, suddenly, both of her lungs collapsed, according to a new report. The 38-year-old woman went to the. Pregnant women have an increased risk of serious illness or death from COVID-19 relative to non-pregnant women. As a result, pregnant people are included in vaccination priority lists in several countries, such as Belgium and Israel. Though the COVID-19 vaccines were not tested in pregnant people during clinical trials, preliminary results from both research and ongoing monitoring of people.

11 Health Conditions That Make the Coronavirus More Deadl

Pneumothorax may be increased in cases of COVID‐19 due to parenchymal lung and alveolar damages that may increase the mortality of infection. 5 So, COVID‐19 infection may be present or complicated as pneumothorax with or without preexisting lung disease or risk factors As the CDC website explains, older adults and people who have severe chronic medical conditions like heart, lung or kidney disease seem to be at higher risk for more serious COVID-19 illness. At New York University Langone Health at the height of the coronavirus disease 2019 (COVID-19) pandemic, 22% of hospitalized patients diagnosed with COVID-19 infection required invasive mechanical ventilation (IMV) . We noted many patients with COVID-19 infection who developed pneumothorax, pneumomediastinum, and pneumopericardium, and in some. [Show full abstract] pneumomediastinum and spontaneous pneumothorax as a very rare complication of COVID-19 and their particular interest as a probable prognostic factor. View full-text Articl

Spontaneous Pneumothorax in COVID-19 Patients Treated with

with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.2,3 We describe the case of a 39-year-old male physician, with a past medical history of asthma, autoimmune hypothyroidism, chronic atrophic gastritis, an isolated episode of atrial fibrillation, and recurrent spontaneous pneumothorax with left apical lobectomy Moreover, most patients with a history of pneumothorax have been reported to have multiple pulmonary cysts. The right lung is more often affected, although both lungs may be involved in up to 23% of cases. 8 A recent study found that 5%-10% of spontaneous primary pneumothoraxes may be related with BHDS. 9 The pathophysiology of the pulmonary. Impact of Prone Position in Patients Under Spontaneous Breathing on Intubation or Non-invasive Ventilation or Death Incidence During COVID-19 Acute Respiratory Distress (PROVID-19) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators

A 57-year-old man with no medical history and <5 pack-year smoking history presented with dyspnoea. Presentation was 4 days (day 13 from first presentation) post a 9-day admission with COVID-19 pneumonitis (SARS-CoV-2 PCR positive day 0) treated with nasal cannula oxygen and 9 days of dexamethasone. Repeat CXR (day 13) was unchanged and there was no biochemical evidence of bacterial infection Lupus is a chronic autoimmune condition that may increase the risk of contracting the new coronavirus or developing complications from COVID-19. Learn more about what to expect, including lupus. A collapsed lung (pneumothorax) is a buildup of air in the space between the lung and the chest wall (pleural space). As the amount of air in this space increases, the pressure against the lung causes the lung to collapse. This prevents your lung from expanding properly when you try to breathe in, causing shortness of breath and chest pain Patients with existing illnesses that cause breathlessness, wheezing or lung problems run a higher risk of developing severe cases of COVID-19 infection due to the new coronavirus, according to a. Context.—Spontaneous pneumothorax can be idiopathic (primary), or it can occur in association with an underlying predisposing condition (secondary).Spontaneous pneumothorax may be a harbinger of an undiagnosed clinical condition, which may be associated with serious systemic abnormalities, making early recognition and diagnosis important

Spontaneous Pneumothorax Occurring in Coronavirus Disease

Spontaneous pneumothorax occurs spontaneously, without prior lung disease. It occurs as a result of having an underlying lung disease, such as COPD, cystic fibrosis, emphysema, asthma, tuberculosis, or whooping cough. In fact, 70% of spontaneous pneumothorax cases occur in people with COPD Conducting a SEND risk assessment during the coronavirus outbreak; Coronavirus (COVID-19): home test kits for schools and FE providers; What parents and carers need to know about schools and other education settings during the coronavirus outbreak. Information for parents and carers about the wider opening of nurseries, schools and colleges. Spontaneous pneumothorax is caused by a rupture of a cyst or a small sac (bleb) on the surface of the lung. Pneumothorax may also occur following an injury to the chest wall such as a fractured rib, any penetrating injury (gunshot or stabbing), surgical invasion of the chest, or may be deliberately induced in order to collapse the lung Coronavirus Disease 2019 (COVID-19) symptoms may occur during or following an invasive procedure or trauma to the chest, neck, gut, or abdomen. A history of a risk factor or a disorder that can be complicated by pneumothorax may be present. For example, for spontaneous pneumothorax, an appropriately sized (e.g., 8.3 Fr, 14 Fr) pigtail.

Catamenial pneumothorax is a rare form of secondary spontaneous pneumothorax that occurs within 48 hours of the onset of menstruation in premenopausal women and sometimes in postmenopausal women taking estrogen. The cause is intrathoracic endometriosis, possibly due to migration of peritoneal endometrial tissue through diaphragmatic defects or. A spontaneous pneumothorax is a collapsed lung. Part or all of the lung may collapse. Air collects in the pleural space (the space between the lungs and chest wall). The trapped air prevents your lung from filling, and the lung collapses. A spontaneous pneumothorax can happen in one or both lungs Recurrent pneumothorax: Lung collapse is classified as either primary spontaneous pneumothorax (occurring in the absence of lung disease) or secondary spontaneous pneumothorax (occurring in the presence of lung disease) Benign pleural effusion: Abnormal accumulation of fluid in the pleural cavity that is not caused by cancer (such as can occur with congestive heart failure, severe lung. Pneumomediastinum refers to having air or another gas trapped in the center of the chest, an area known as the mediastinum. Injury, intense exercise, or even difficult childbirth can cause. Most people with Marfan syndrome have myopia. Patients with Marfan syndrome are at risk for retinal detachment, and ectopia lentis (lens dislocation) is a hallmark feature. Spontaneous pneumothorax due to apical pleural blebs occurs in 5% of people with Marfan syndrome. It is important to obtain a careful family history Depending on the cause of the pneumothorax, a second goal may be to prevent recurrences. The methods for achieving these goals depend on the severity of the lung collapse and sometimes on your overall health. Treatment options may include observation, needle aspiration, chest tube insertion, nonsurgical repair or surgery. You may receive.