title: Local anaesthetic thoracoscopy for intractable pneumothorax in a high-risk patient.
abstract: 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.
authors.affiliation: Respiratory Disease Center, Otsu Red Cross Hospital, Otsu, Shiga, Japan. yutaka@kve.biglobe.ne.jp
authors.forename: Yojiro
authors.initials: Y
authors.lastname: Yutaka
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Katakura
authors.forename: Shohei
authors.initials: S
authors.lastname: Kaneda
authors.forename: Akira
authors.initials: A
authors.lastname: Yamanaka
mesh_terms: D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008297:Male; D011030:Pneumothorax / Q000473:pathology / Q000601:surgery*; D016156:Respiratory Tract Fistula / Q000150:complications / Q000473:pathology / Q000601:surgery*; D018570:Risk Assessment; D012307:Risk Factors; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects; D016896:Treatment Outcome