Tuberc Respir Dis.  2002 Sep;53(3):325-331. 10.4046/trd.2002.53.3.325.

A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent

• Jeong SH
• Cho HJ
• Lee HN
• Lee HS
• Sheen SS
• Oh YJ
• Park KJ
• Hwang SC
• Won JH
• Park KJ

• KMID: 1320657
• DOI: http://doi.org/10.4046/trd.2002.53.3.325

Abstract

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.

Keyword

Postpneumonectomy syndrome; Tracheobronchomalacia; Endobronchal stent; Pneumone ctomy; Operation