Local anaesthetic thoracoscopy for intractable pneumothorax in a high-risk patient

The management of high-operative-risk patients with a pneumothorax is complicated. The case of a 79-year old man with an intractable secondary pneumothorax, who had taken oral steroids to control asthma, is presented. Since the patient could not tolerate general anaesthesia because of poor cardiac f...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2012-08, Vol.15 (2), p.330-331
Main Authors: Yutaka, Yojiro, Katakura, Hiromichi, Kaneda, Shohei, Yamanaka, Akira
Format: Article
Language:English
Subjects:
Aged
Anesthesia, Local - adverse effects
Case Reports
Humans
Lung Diseases - complications
Lung Diseases - pathology
Lung Diseases - surgery
Male
Pneumothorax - pathology
Pneumothorax - surgery
Respiratory Tract Fistula - complications
Respiratory Tract Fistula - pathology
Respiratory Tract Fistula - surgery
Risk Assessment
Risk Factors
Thoracic Surgery, Video-Assisted - adverse effects
Treatment Outcome
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Summary:The management of high-operative-risk patients with a pneumothorax is complicated. The case of a 79-year old man with an intractable secondary pneumothorax, who had taken oral steroids to control asthma, is presented. Since the patient could not tolerate general anaesthesia because of poor cardiac function, thoracoscopic surgery was performed under local anaesthesia. A successful lung fistula closure was achieved and the continuous air leakage disappeared immediately after the surgery.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivs162