Tuberc Respir Dis > Volume 53(3); 2002 > Article
Tuberculosis and Respiratory Diseases 2002;53(3):325-331.
DOI:    Published online September 1, 2002.
A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent.
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.
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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