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  • Title: Cystoperitoneal shunt for a giant intrathoracic meningocele under local anesthesia.
    Author: Tanaka K, Shimizu K, Kakegawa S, Oshima K, Takeyoshi I.
    Journal: Ann Thorac Surg; 2011 Jan; 91(1):317-9. PubMed ID: 21172550.
    Abstract:
    Giant intrathoracic meningoceles are extremely rare, and the standard treatment for giant intrathoracic meningoceles remains controversial. We present the case of a patient with giant intrathoracic meningoceles associated with neurofibromatosis type I. Our patient had poor respiratory function because of the giant intrathoracic meningocele, so we performed a cystoperitoneal shunt under local anesthesia. We describe our cystoperitoneal shunt technique using an adjustable-pressure valve. This simple, minimally invasive treatment is a valuable alternative treatment option in patients at high operative risk, especially those with low respiratory function.
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