title: [Lymphangioleiomyomatosis: a case report].
abstract: We report anesthetic management of a patient with lymphangioleiomyomatosis. A 41-year-old woman underwent lung biopsy under video-assisted thoracoscopic surgery to confirm the presence of lymphangioleiomyomatosis. She had hypoxemia due to obstructive lung disorder. Anesthesia was maintained with epidural block and general anesthesia with sevoflurane. During the operation, there were repeated episodes of hypoxemia, which required manual ventilation of the independent lung. After the operation, the tracheal tube was replaced with a laryngeal mask airway to minimize the risk of pneumothorax. There was no postoperative anesthesia-related complication.
authors.affiliation: Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka.
authors.forename: Rumie
authors.initials: R
authors.lastname: Wakasaki
authors.forename: Kazuo
authors.initials: K
authors.lastname: Higa
authors.forename: Keiichi
authors.initials: K
authors.lastname: Nitahara
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Shono
authors.forename: Masanobu
authors.initials: M
authors.lastname: Yasumoto
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000628:therapy; D007431:Intraoperative Complications / Q000628:therapy; D017214:Laryngeal Masks; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D018192:Lymphangioleiomyomatosis / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted