기관지 스텐트 삽입으로 치료한 전폐절제술후 증후군 1예

A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent

  • 정성현 (아주대학교 의과대학 호흡기내과학교실) ;
  • 조혜진 (아주대학교 의과대학 호흡기내과학교실) ;
  • 이형노 (아주대학교 의과대학 호흡기내과학교실) ;
  • 이형숙 (아주대학교 의과대학 호흡기내과학교실) ;
  • 신승수 (아주대학교 의과대학 호흡기내과학교실) ;
  • 오윤정 (아주대학교 의과대학 호흡기내과학교실) ;
  • 박광주 (아주대학교 의과대학 호흡기내과학교실) ;
  • 황성철 (아주대학교 의과대학 호흡기내과학교실) ;
  • 원제환 (아주대학교 의과대학 진단방사선과학교실) ;
  • 박경주 (아주대학교 의과대학 진단방사선과학교실)
  • Jeong, Seong-Hyun (Department of Pulmonology, Ajou University School of Medicine) ;
  • Cho, Hye-Jin (Department of Pulmonology, Ajou University School of Medicine) ;
  • Lee, Hyoung-No (Department of Pulmonology, Ajou University School of Medicine) ;
  • Lee, Hyung-Sook (Department of Pulmonology, Ajou University School of Medicine) ;
  • Sheen, Seung-Soo (Department of Pulmonology, Ajou University School of Medicine) ;
  • Oh, Yoon-Jung (Department of Pulmonology, Ajou University School of Medicine) ;
  • Park, Kwang-Joo (Department of Pulmonology, Ajou University School of Medicine) ;
  • Hwang, Sung-Chul (Department of Pulmonology, Ajou University School of Medicine) ;
  • Won, Jae-Hwan (Department of Radiology, Ajou University School of Medicine) ;
  • Park, Kyung-Joo (Department of Radiology, Ajou University School of Medicine)
  • 발행 : 2002.09.30

초록

전폐절제술후 증후군은 우측 전폐절제술 후 기도폐쇄가 발생하는 드문 합병증으로 기관지연화증이 동반되는 경우는 수술적인 치료로 교정이 어렵다. 저자 등은 기관지연화증을 동반한 전폐절제술후 증후군 환자를 기관지내 스텐트삽입으로 성공적으로 치료한 경험을 하였기에 문헌고찰과 함께 보고하는 바이다.

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 ratation 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.

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