Anesthetic Management of a Patient with Postpneumonectomy Syndrome for Corrective Surgery: A case report / 대한마취과학회지

Postpneumonectomy syndrome is a rare and delayed complication of pneumonectomy. This syndrome is caused by the shifting and rotation of the heart and mediastinum into the empty hemithorax. It can be corrected by inserting prosthesis in the empty side of the chest. We experienced a case of postpneumonectomy syndrome in 17 year-old girl that followed by right pneumonectomy for multi-drug resistance tuberculosis (MDR-TB) 9 months ago. The corrective surgery of postpneumonectomy syndrome does not seem to be familiar with anesthesiologists. We report this case with references, as we were unable to find any case report about this maneuver.

Postpneumonectomy-Like Syndrome in the Destroyed Lung / 대한흉부외과학회지

Postpneumonectomy syndrome is a rare condition characterized by dyspnea due to an extreme mediastinal shift and bronchial compression of the residual lung after a right pneumonectomy or a left pneumonectomy with the right aortic arch. Severe fibrosis of the lung such as tuberculsosis (TB) - destroyed lung can cause similar clinical features in the absence of pneumonectomy. We report a unique case of postpneumonectomy syndrome without pneumonectomy, which was successfully treated with pneumonectomy and mediastinal repositioning with tissue expanders.

A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent / 결핵

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.