CTICasesBilateral Capnothorax Post Heller Myotomy and Nissen Fundoplication
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
Post-operative chest x-rays following Heller myotomy and Nissen fundoplication showed bilateral pneumothoraces. Subsequent imaging an hour and a half later demonstrated resolving pneumothoraces, with the patient remaining clinically stable.
Key takeaways
Bilateral capnothorax is a known complication of laparoscopic Heller myotomy and Nissen fundoplication, resulting from the dissection and insufflation of CO2 gas, which can track into the pleural spaces. It typically resolves spontaneously without intervention if the patient is stable.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Arterial Central Venous Catheter Placement (into aorta) via IJ and Subclavian VeinIatrogenic
- Retained Suction Catheter Tip (Intraoperative Foreign Body)Iatrogenic
- Choriocarcinoma with Hemorrhagic Pulmonary MetastasesNeoplastic
- Anomalous Left Coronary Artery from Pulmonary Artery (ALCAPA) with Proximal Interruption of the Right Pulmonary ArteryCongenital
- Hypertrophic Cardiomyopathy (HCM)Congenital
- Loeffler's Endocarditis (Fibrotic Phase)Inflammatory
- Unilateral Acute Respiratory Distress Syndrome (ARDS) due to Left Pulmonary Artery AgenesisCongenital
- Aberrant Right Subclavian ArteryCongenital
See all cases from August 14, 2015 →
Related Iatrogenic cases
- Valve-in-Valve TAVR for Paravalvular Leak
- Pulmonary Vein Occlusion post Radiofrequency Ablation for Atrial Fibrillation
- Aorto-Pulmonary Artery Fistula and Pseudoaneurysm at Aortic Graft Anastomosis
- Left Hemidiaphragm Dysfunction from Phrenic Nerve Injury Post-CABG
- Discitis Osteomyelitis from Perforated IVC Filter
- Retained Surgical Sponge (Gossypiboma)