Pleurodesis for refractory left-sided pleural effusion due to dilated cardiomyopathy in a patient with right-sided destroyed lung

Öz

Benign pleural effusions are rarely treated with pleurodesis. We report a case of left-sided pleurodesis in a patient with right-sided destroyed lung. A 83-year-old man with right-sided destroyed lung was hospitalized because of reccurent left-sided massive pleural effusion due to cardiomyopathy. The patient was treated with left pleurodesis. He was then discharged from hospital and given diuretics therapy. At the one-year follow-up examinations, dyspnea and effusion had not recorded.

Anahtar Kelimeler

• Cardiomyopathy, pleural effusion, pleurodesis

Pleurodesis for refractory left-sided pleural effusion due to dilated cardiomyopathy in a patient with right-sided destroyed lung

Öz

Benign plevral efüzyonlar nadiren plöredez ile tedavi edilirler. Sağ destroyed akciğeri olan 83 yaşındaki hastada dilate kardiyomyopatiye bağlı tekrarlayan sol plevral efüzyon plöredez yapılarak başarıyla tedavi edildi.Hasta diüretik tedavi ile evine taburcu edildi.Bir yıılık takibinde ise hastada nefes darlığı ve efüzyon tespit edilmedi

Anahtar Kelimeler

• Kardiyopmiyopati, plevra efüzyonu, plöredezis

Kaynakça

1. Ahmad Z, Krishnadas R, Froeschle P. Pleural effusion: di- agnosis and management. J Perioper Pract 2009;19:242-7.
2. Ahmad K, Gandhi MS, Smith WC, Weber KT. Bilateral pleu- ral effusions in congestive heart failure. Am J Med Sci 2008;335:484-8.
3. Porcel JM. Establishing a diagnosis of pleural effusion due to heart failure. Respirology 2009;14:471-3.
4. Zahid I, Routledge T, Bille A, Scarci M. What is the best treatment for malignant pleural effusions? Interact Cardiovasc Thorac Surg 2011;12:818-23.
5. Trotter D, Aly A, Siu L, Knight S. Video-assisted thora- coscopic (VATS) pleurodesis for malignant effusion: an Australian teaching hospital's experience. Heart Lung Circ 2005;14:93-7.
6. Spicer AJ, Fisher JA. Recurring pleural effusion in conges- tive heart failure treated by pleurodesis. J Ir Med Assoc 1969;62:177-8.
7. Davidoff D, Naparstek Y, Eliakim M. The use of pleurode- sis for intractable pleural effusion due to congestive heart failure. Postgrad Med J 1983;59:330-1.
8. Glazer M, Berkman N, Lafair JS, Kramer MR. Successful talc slurry pleurodesis in patients with nonmalignant pleural effusion. Chest 2000;117:1404-9.

9. Kinasewitz GT. Transudative effusions. Eur Respir J 1997;10:714-8.