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A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent  

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)
Publication Information
Tuberculosis and Respiratory Diseases / v.53, no.3, 2002 , pp. 325-331 More about this Journal
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 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.
Keywords
Postpneumonectomy syndrome; Tracheobronchomalacia; Endobronchal stent; Pneumonectomy; Operation;
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