title: [Treatment of Tension Pneumothorax during Total Right Breast Extirpation and Reconstruction with a Flap of the Latissimus Dorsi Muscle].
abstract: A patient developed tension pneumothorax during surgery. A 56-year-old woman with right breast cancer and axillary gland metastasis, was to undergo total right breast extirpation/axillary gland dissection, flap collection from the latissimus dorsi muscle, and reconstruction with this flap. During total right breast extirpation/axillary gland dissection, there were no problems, but the arterial blood oxygen saturation (SpO2) fell after the start of flap collection. After the start of reconstruction, SpO2 was reduced again. In the right lung field, no respiratory sound was heard, and chest X-ray showed right tension pneumothorax. A right thoracic drain was inserted and surgery was completed as scheduled. Thoracic CT did not reveal any abnormal findings, such as a brassiere, the day after surgery.
authors.forename: Naofumi
authors.initials: N
authors.lastname: Isobe
authors.forename: Hidehiro
authors.initials: H
authors.lastname: Sakaguchi
authors.forename: Nanako
authors.initials: N
authors.lastname: Okano
authors.forename: Ryo
authors.initials: R
authors.lastname: Takao
authors.forename: Taisuke
authors.initials: T
authors.lastname: Kumamoto
authors.forename: Tadashi
authors.initials: T
authors.lastname: Koga
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Sadohara
authors.forename: Michiaki
authors.initials: M
authors.lastname: Sadanaga
mesh_terms: D000768:Anesthesia, General; D001943:Breast Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery; D008197:Lymph Node Excision; D016462:Mammaplasty; D008875:Middle Aged; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps