Right Pneumonectomy Syndrome A Late Life-Threatening Complication of Pneumonectomy

Right Pneumonectomy Syndrome A Late Life-Threatening Complication of Pneumonectomy

Author Lucas da Silva, Paulo Sergio Autor UNIFESP Google Scholar
Oliveira, Renato de Autor UNIFESP Google Scholar
Tamura, Nikkei Autor UNIFESP Google Scholar
Neto, Henrique Monteiro Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background: Right pneumonectomy syndrome, a rare complication of pneumonectomy, is secondary to a shift of the mediastinum and remaining lung toward the pneumonectomy side, leading to extrinsic airway compression and stretching.Case: A 6-year-old boy started with initial symptoms of dyspnea on exertion, wheezing, and recurrent pneumonia 6 months after his right pneumonectomy. He received treatment with bronchodilators and antibiotics during outpatient clinic visits. Two months later, he developed increased wheezing and productive cough. A pulmonary function test showed severe reduction in expiratory volumes. He had a cardiopulmonary arrest while a surgical intervention was being planned. Chest roentgenogram showed shift of the heart and mediastinal structures into the right hemithorax with left lung hyperexpansion and no fluid in the right hemithorax. A computed tomogram of the chest revealed marked narrowing of the proximal left mainstem bronchus. He underwent thoracotomy, and a silicone prosthesis was inserted into the right hemithorax, resulting in restoration of the structures to the midline. the child presented severe neurological sequelae.Conclusions: Postpneumonectomy syndrome is a rare but life-threatening complication after pneumonectomy. Because it may mimic other conditions and given the consequences can be devastating, early recognition and intervention are required to ensure a favorable outcome.
Keywords cardiac arrest
postoperative complication
postpneumonectomy syndrome
Language English
Date 2010-07-01
Published in Pediatric Emergency Care. Philadelphia: Lippincott Williams & Wilkins, v. 26, n. 7, p. 499-502, 2010.
ISSN 0749-5161 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 499-502
Origin http://dx.doi.org/10.1097/PEC.0b013e3181e5bfb3
Access rights Closed access
Type Article
Web of Science ID WOS:000279696700008
URI http://repositorio.unifesp.br/handle/11600/32697

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