Cystoperitoneal Shunt for a Giant Intrathoracic Meningocele Under Local Anesthesia Kazumi Tanaka, MD, Kimihiro Shimizu, MD, PhD, Seiichi Kakegawa, MD,

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Cystoperitoneal Shunt for a Giant Intrathoracic Meningocele Under Local Anesthesia Kazumi Tanaka, MD, Kimihiro Shimizu, MD, PhD, Seiichi Kakegawa, MD, Kiyohiro Oshima, MD, PhD, Izumi Takeyoshi, MD, PhD The Annals of Thoracic Surgery Volume 91, Issue 1, Pages 317-319 (January 2011) DOI: 10.1016/j.athoracsur.2010.01.071 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) The admission chest roentgenogram revealed scoliosis, rib deformities, and large lesions occupying the entire left and right upper thorax cavity. (B) A chest roentgenogram 2 years postoperatively revealed volume reduction of the lesions and improvement of the mediastinal shift. The Annals of Thoracic Surgery 2011 91, 317-319DOI: (10.1016/j.athoracsur.2010.01.071) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Magnetic resonance imaging revealed severe kyphoscoliosis and multiple cystic tumors in the thorax cavity bilaterally that were continuous with the spinal canal. The Annals of Thoracic Surgery 2011 91, 317-319DOI: (10.1016/j.athoracsur.2010.01.071) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Strata BioGlide Adjustable Valve (Medtronic Neurosurgery, Goleta, CA). The Annals of Thoracic Surgery 2011 91, 317-319DOI: (10.1016/j.athoracsur.2010.01.071) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions