Document Detail


Postpneumonectomy syndrome in adulthood. Surgical correction using an expandable prosthesis.
MedLine Citation:
PMID:  1555444     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The postpneumonectomy syndrome is a rare complication occurring after right pneumonectomy and is seen mainly after pneumonectomy in childhood. The presenting symptoms are dyspnea, stridor, and recurrent pulmonary infections. The syndrome is caused by the shifting and rotation of the heart and mediastinum into the right hemithorax, and anterior herniation of the left lung. This causes tortuosity and stretching of the trachea and compression of the left main bronchus and left lower lobe bronchus, eventually resulting in secondary tracheobronchomalacia. This report reviews two cases of postpneumonectomy syndrome following pneumonectomy in adulthood. After implantation of an expandable prosthesis, an anatomic correction of the shifted mediastinum was achieved, which in both cases resulted in instantaneous and sustained relief.
Authors:
J P Jansen; A Brutel de la Rivière; M P Alting; C J Westermann; P G Bergstein; V A Duurkens
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Chest     Volume:  101     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1992 Apr 
Date Detail:
Created Date:  1992-05-06     Completed Date:  1992-05-06     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1167-70     Citation Subset:  AIM; IM    
Affiliation:
Department of Pulmonology, St. Antonius Hospital, Nieuwegein, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Dyspnea / diagnosis,  surgery*
Female
Humans
Middle Aged
Pneumonectomy*
Postoperative Complications / diagnosis,  surgery*
Prostheses and Implants*
Reoperation
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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