Thorac Cardiovasc Surg 2018; 66(07): 583-588
DOI: 10.1055/s-0037-1620273
Original Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Risk of Primary Spontaneous Pneumothorax According to Chest Configuration

Chul Hwan Park*
1   Department of Radiology and the Research Institute of Radiological Science, Gangnam Severance Hospital, Yonsei University College of Medicine, Republic of Korea
,
MinDong Sung*
2   Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
,
Geun Dong Lee
3   Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
,
Young Woo Do
4   Department of Cardiovascular and Thoracic Surgery, Kyungpook National University School of Medicine, Daegu, Republic of Korea
,
Hee Min Park
5   Yonsei University College of Medicine, Seoul, Republic of Korea
,
Junu Kim
5   Yonsei University College of Medicine, Seoul, Republic of Korea
,
Jin Hur
6   Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
,
Kyunghwa Han
6   Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
,
Tae Hoon Kim
1   Department of Radiology and the Research Institute of Radiological Science, Gangnam Severance Hospital, Yonsei University College of Medicine, Republic of Korea
,
Jason Jungsik Song
2   Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
,
Sungsoo Lee
7   Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
› Author Affiliations
Further Information

Publication History

01 August 2017

09 December 2017

Publication Date:
19 January 2018 (online)

Abstract

Background We compared the chest configurations of patients with primary spontaneous pneumothorax (PSP) and age-sex-matched controls to determine the presence of chest wall deformities in patients with PSP.

Methods We retrospectively enrolled 166 male patients with PSP (age, 18–19 years) and 85 age-sex-matched controls without PSP, who simultaneously underwent chest computed tomography (CT) and radiography at one of two institutes. After correcting for height, the following thoracic parameters were comparatively evaluated between the two groups: maximal internal transverse (T) and anteroposterior (W) diameters of the chest, maximal internal lung height (H), Haller index (T/W), and T/Height, T/H, W/Height, W/H, and H/Height ratios.

Results Patients were taller than the control subjects (176.5 cm ± 5.9 cm versus 174.4 cm ± 5.6 cm; p = 0.007). After controlling for height, the patient group exhibited lower T and W and greater H and Haller index values than the control group (T: 95% confidence interval [CI], 24.8–25.2 cm versus 25.9–26.5; W: 95% CI, 8.9–9.2 cm versus 10.1–10.6 cm; H: 95% CI, 25.2–25.9 cm versus 23.4–24.4 cm; and Haller index, 95% CI, 2.7–2.9 versus 2.4–2.6; all, p < 0.001). The patient group also exhibited lower T/Height, T/H, W/Height, and W/H ratios and greater H/Height ratio than the control group.

Conclusions Patients with PSP have an anteroposteriorly flatter, laterally narrower, and craniocaudally taller thorax than subjects without PSP, suggesting that chest configuration is associated with the development of pneumothorax.

* These authors contributed equally to this work.


Author Contributions

• Conceptualization: Chul Hwan Park, MinDong Sung, Jason Jungsik Song, Sungsoo Lee


• Data curation: Chul Hwan Park, MinDong Sung, Hee Min Park, Junu Kim, Jin Hur


• Formal analysis: Chul Hwan Park, MinDong Sung, Kyunghwa Han


• Investigation: Chul Hwan Park, Geun Dong Lee, Young Woo Do, Jason Jungsik Song


• Methodology: Chul Hwan Park, MinDong Sung, Tae Hoon Kim, Jason Jungsik Song, Sungsoo Lee


• Supervision: Tae Hoon Kim, Jason Jungsik Song, Sungsoo Lee


• Validation: Geun Dong Lee, Young Woo Do


• Writing—original draft: Chul Hwan Park, MinDong Sung, Sungsoo Lee


• Writing—review and editing: Chul Hwan Park, Geun Dong Lee, Young Woo Do, Sungsoo Lee


 
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