| A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent. |
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Seong Hyun Jeong, 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 |
1Department of Pulmonology, Ajou University School of Medicine, Suwon, Korea.
2Department of Radiology, Ajou University School of Medicine, Suwon, Korea. |
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| Abstract |
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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. |
| Key Words:
Postpneumonectomy syndrome, Tracheobronchomalacia, Endobronchal stent, Pneumone ctomy, Operation |
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