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J Thorac Cardiovasc Surg 2005;130:1219-1220
© 2005 The American Association for Thoracic Surgery

Brief Communication

Thoracoscopic operation with local and epidural anesthesia in the treatment of pneumothorax after lung transplantation

Department of Cancer and Thoracic Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

Received for publication May 17, 2005; accepted for publication June 30, 2005.

^_* Address for reprints: Hiroshi Date, MD, Department of Cancer and Thoracic Surgery (Surgery II), Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-Cho, Okayama 700-8558, Japan (Email: hdate@nigeka2.hospital.okayama-u.ac.jp).

The first 20% of the full text of this article appears below.

Drs H. Date (left) and S. Sugimoto (right)

Intractable pneumothorax in the native or in the transplanted lung may occur after lung transplantation, and successful thoracoscopic repair with general anesthesia has been reported. ¹ For recipients after lung transplantation, however, the risks of general anesthesia itself cannot be negligible, especially during the early postoperative period. We report 2 cases of intractable pneumothorax after lung transplantation successfully treated by thoracoscopic operation with local and epidural anesthesia.

Clinical Summaries

Patient 1
A 47-year-old man with a history of multiple episodes of bilateral pneumothorax underwent right single-lung transplantation for interstitial pneumonia associated with rheumatoid arthritis. Soon after extubation on postoperative day (POD) 9, a significant ulcerative stricture developed in the right main bronchus and was treated with repeated bronchoscopic débridements. On POD 27, the patient had a pneumothorax develop in the native lung. The initial treatment consisted of chest tube drainage. Pleurography was performed through . . . [Full Text of this Article]

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