Raja Farhat Shoaib, Fahim Anwar, Brian Nyawo, Pradip Sarkar.
Bilateral tension pneumothoraces following coronary artery bypass grafting.
J Coll Physicians Surg Pak Jan ;19(7):444-6.

It is an unusual case of bilateral tension pneumothoraces developing in the postoperative period in a patient who underwent total arterial revascularization for two vessel coronary artery disease. The patient had been a previous heavy smoker and at operation had been noted to have thin walled lung parenchyma with multiple small bullae mainly in the left upper lobe. He suddenly developed bilateral pneumothoraces following intermittent continuous positive airway pressure requiring initially bilateral needle decompression followed by chest drain insertion. He recovered well and the air leak sealed after 3 days.

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