title: Video-assisted thoracoscopic bullectomy for spontaneous pneumothorax in a Swyer-James syndrome patient.
abstract: We treated a 15-year-old patient with spontaneous pneumothorax associated with Swyer-James syndrome using video-assisted thoracoscopic surgery (VATS). Thoracic computed tomography showed hyperlucent areas in the bilateral lungs. Due to major air leakage continuing for a week, we conducted VATS bullectomy. Because the opposite lung suffered hypoplasia, intermittent bilateral pulmonary ventilation was required to sustain an adequate PaO2 in arterial blood gas analysis during surgery. Because of recurrent pneumothorax, we performed reoperation 10 months later, finding a few newly generated bullae. To the best of our knowledge, this is the first report of VATS used to treat a Swyer-James syndrome patient with pneumothorax.
authors.affiliation: Department of Surgery, Osaka Prefectural Habikino Hospital, Habikino, Osaka, Japan.
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Inoue
authors.forename: Katsuhiro
authors.initials: K
authors.lastname: Nakagawa
authors.forename: Makoto
authors.initials: M
authors.lastname: Kameda
authors.forename: Kyoichiro
authors.initials: K
authors.lastname: Toyoshima
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Yasumitsu
mesh_terms: D000293:Adolescent; D002648:Child; D006801:Humans; D019568:Lung, Hyperlucent / Q000601:surgery*; D008297:Male; D011030:Pneumothorax / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*