An experience with the modified total pleural covering technique in a patient with bilateral intractable pneumothorax secondary to lymphangioleiomyomatosis

Masafumi Noda, Yoshinori Okada, Sumiko Maeda, Tetsu Sado, Akira Sakurada, Yasushi Hoshikawa, Chiaki Endo, Takashi Kondo

研究成果: Article査読

10 被引用数 (Scopus)

抄録

We present a case of bilateral intractable pneumothorax associated with a modified form of lymphangioleiomyomatosis (LAM), successfully treated with a previously reported surgical procedure, the total pleural covering (TPC) technique, under video-assisted thoracic surgery. The patient was a 28-year-old woman with bilateral pneumothorax secondary to LAM who had undergone thoracoscopic surgery in another hospital. We performed bilateral TPC modified with a preceding coverage of air leak points with polyglycolic acid sheets for reinforcement. Although a minor air leak after the surgery necessitated a mild pleurodesis on the right side, the bilateral pneumothorax was well controlled, and no recurrence has been observed for 9 months. We believe that TPC is a safe and reliable procedure for the management of intractable pneumothorax secondary to LAM. It also has the potential to reduce risk of excessive bleeding in lung transplantation.

本文言語English
ページ(範囲)439-441
ページ数3
ジャーナルAnnals of Thoracic and Cardiovascular Surgery
16
6
出版ステータスPublished - 12-2010
外部発表はい

All Science Journal Classification (ASJC) codes

  • 外科
  • 呼吸器内科
  • 循環器および心血管医学
  • 消化器病学

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