Skip to main content

Table 2 Clinical data for four patients with lymphangioleiomyomatosis who experienced postoperative pneumothorax

From: Intraoperative mechanical ventilation and incidence of pneumothorax in lymphangioleiomyomatosis

Characteristics

Case 1

Case 2

Case 3

Case 4

Age (y)

34

49

30

33

Diagnosis

Sporadic-LAM

TSC-LAM

Sporadic-LAM

Sporadic-LAM

Preoperative variables

    

CT grade

/

II

III

III

VEGF-D (pg/mL)

/

679

1734

1211

FEV1/Pred (%)

/

/

64

75

DLco/Pred (%)

/

/

25

47

6MWD (m)

/

590

410

472

PaO2 (mmHg)

73

65.5

62

85

SpO2 (%)

87

100

90

95

Number of preoperative PTX episodes

7

2

1

0

History of pleurodesis

No

No

No

No

Menstruation status

Pre-menopausal

Peri-menopausal

Pre-menopausal

Pre-menopausal

Current pregnancy

No

No

Yes

Yes

Preoperative mTOR inhibitors therapy

No

No

No

No

Intraoperative variables

    

Surgical type

VATS lobectomy

VATS pleurodesis

Cesarean section

Cesarean section

Surgery duration (min)

118

75

60

63

ASA physical status

3

2

3

4

Anesthetic technology

GA

GA

CSEA

GA

Anesthesia duration (min)

153

125

115

95

Mechanical ventilation

Yes

Yes

No

Yes

 Ventilation duration (min)

153

112

/

9360

 Mean peak airway pressure (mmHg)

19

17

/

29

 Respiratory rate

22

11

/

18

 Extubation

Yes

Yes

/

No

Back to ICU

Yes

No

Yes

Yes

Date of postoperative PTX

POD 10

POD 20

POD 13

POD 8

  1. CT, computerized tomography; VEGF-D, vascular endothelial growth factor-D; FEV1, forced expiratory volume in 1 s; DLco, diffusing capacity for carbon monoxide; 6MWD, 6-min walking distance; PaO2, partial pressure of oxygen in arterial blood; SpO2, room air pulse oxygen saturation; PTX, pneumothorax; mTOR, mammalian target of rapamycin; ASA, American Society of Anesthesiologists; ICU, intensive care unit; LAM, lymphangioleiomyomatosis; TSC, tuberous sclerosis complex; VATS, video-assisted thoracoscopic; GA, general anesthesia; CSEA, combined spinal and epidural anesthesia; POD, postoperative days