Internal medicine (Tokyo, Japan) · 2012
Successful treatment by fibrin glue sealant for pneumothorax with chronic GVHD resistant to autologous blood patch pleurodesis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Iyama Satoshi, Sato Tsutomu, Murase Kazuyuki, Kikuchi Shohei, Kamihara Yusuke, Ono Kaoru, Takada Kohichi, Miyanishi Koji, Sato Yasushi, Takimoto Rishu, Kobune Masayoshi, Obama Takuro, Miyajima Masahiro, Watanabe Atsushi, Higami Tetsuya, Hirayama Yasuo, Kato Junji
Аннотация
Pneumothorax associated with chronic graft-versus-host disease (cGVHD) after stem cell transplantation is a rare complication. Autologous blood has been used successfully for pleurodesis, which was less toxic than chemical agents. However, when pneumothorax is resistant to pleurodesis, no other procedure is more effective and conservative. Here, we describe a case of myelodysplastic syndromes complicated with cGVHD-related pneumothorax. His pneumothorax has been resistant to pleurodesis using autologous blood and was treated successfully with fibrin glue sealant. In our limited experience, we believe the best success could be achieved when this method is used to treat persistent pneumothorax with cGVHD.