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CASE REPORT
Spontaneous pneumothorax as manifestation of Marfan syndrome
  1. Carolina Viveiro,
  2. Patricia Rocha,
  3. Cristiana Carvalho,
  4. Maria Manuel Zarcos
  1. Department of Pediatria, Centro Hospitalar de Leiria–Pombal, Leiria, Portugal
  1. Correspondence to Dr Cristiana Carvalho, cristiana.mafalda{at}gmail.com

Summary

The authors describe a 16-year-old boy, previously healthy, who was admitted to our hospital for left-sided spontaneous pneumothorax. On physical examination he presented with marfanoid habitus. Pneumothorax was managed conservatively with resolution. Four months later he had a recurrence of left-sided pneumothorax and 1 week after that he presented with contralateral pneumothorax. He underwent video-assisted thoracoscopic surgery twice for bullectomy and pleurodesis. No further recurrence was stated. Additional investigation showed a prolapsed cardiac mitral valve and Marfan syndrome was confirmed genetically.

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