A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent.
10.4046/trd.2002.53.3.325
- Author:
Seong Hyun JEONG
1
;
Hye Jin CHO
;
Hyoung No LEE
;
Hyung Sook LEE
;
Seung Soo SHEEN
;
Yoon Jung OH
;
Kwang Joo PARK
;
Sung Chul HWANG
;
Jae Hwan WON
;
Kyung Joo PARK
Author Information
1. Department of Pulmonology, Ajou University School of Medicine, Suwon, Korea.
- Publication Type:Case Report
- Keywords:
Postpneumonectomy syndrome;
Tracheobronchomalacia;
Endobronchal stent;
Pneumone ctomy;
Operation
- From:Tuberculosis and Respiratory Diseases
2002;53(3):325-331
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postpneumonectomy syndrome is a rare complication that usually occurs in younger patients within the first year after a right total lung resection. Its clinical presentations are stridor, dyspnea, and recurrent pulmonary infections. An airway obstruction secondary to the extreme mediastinal shift and rotation after a pneumonectomy is the main mechanism. It is commonly complicated with tracheobronchomalacia due to longstanding airway compression. The management modalities involve a repositioning of the mediastinum with volume expansion of the pneumonectomy site by a expandable prosthesis. however, other methods including an endobronchial stent insertion should be considered in the presence of a tracheobronchomalacia or in poor surgical candidates. Here we describe a case of postpneumonectomy syndrome complicated by a bronchomalacia, which was successfully treated with a self-expandable endobronchal stent.
