We herein report a case of an 18-year-old male with left postpneumonectomy syndrome who underwent a bullectomy for right pneumothorax. The patient underwent a left pneumonectomy at the age of 1 year. At the age of 18 years, he developed right pneumothorax, and radiological findings revealed apical bullae in the right pleural cavity extending into the left atrophic thoracic cavity beyond the upper mediastinum. The right thoracoscopic bullectomy was successful. Modifications of selective lobar ventilation during surgery and thoracoscope position were described.
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http://dx.doi.org/10.1093/icvts/ivae065 | DOI Listing |
JACC Case Rep
December 2024
Division of Acute Care and Trauma Surgery, Department of Surgery, Kern Medical Center, Bakersfield, California, USA.
Postpneumonectomy syndrome (PPS) is a rare postoperative phenomenon characterized by dynamic airway obstruction and circulatory collapse resulting from excessive mediastinal shifting and rotation of critical structures. This paper presents a novel case of PPS manifesting approximately 3 decades after pneumonectomy in an acutely symptomatic 28-year-old man with clinical findings concerning for impending airway collapse. Cardiac computed tomography and pulmonary function testing were used as alternative, noninvasive means of monitoring for disease advancement.
View Article and Find Full Text PDFRespir Med Case Rep
September 2024
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Background: It is rare for an adult patient to be living decades after a pneumonectomy procedure. This case features complications that can arise. We utilize cardiopulmonary exercise stress testing (CPET) to highlight long-term physiologic changes that can present in a post-pneumonectomy patient.
View Article and Find Full Text PDFIndian J Anaesth
August 2024
Department of Cardiothoracic Surgery, Government Medical College and Hospital, Chandigarh, India.
Surg Case Rep
July 2024
Department of General Thoracic Surgery, Kagoshima University Graduate School of Dental and Medical Science, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.
Background: Post-pneumonectomy syndrome (PPS) is a rare but serious condition that can occur after pneumonectomy. It is characterized by a mediastinal shift towards the vacated hemithorax, which can potentially lead to respiratory failure. The management of PPS poses a clinical challenge, especially in the context of the limited availability of certain therapeutic devices due to regulatory restrictions in Japan.
View Article and Find Full Text PDFAnn Card Anaesth
July 2024
Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Postpneumonectomy syndrome (PPS) is a rare, life-threatening complication characterized by dynamic airway obstruction due to mediastinal rotation at any time point following pneumonectomy. This can produce life-threatening respiratory and cardiovascular complications. We report a case who developed PPS following right pneumonectomy in a 55-year-old female patient with small cell carcinoma (SCC) right lung.
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