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James A. Quintessenza
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J Thorac Cardiovasc Surg 2002;124:203-204
© 2002 The American Association for Thoracic Surgery

Brief Communications

Right postpneumonectomy syndrome and severe pectus excavatum in a child: Surgical management

Victor O. Morell, MDa, Jeffrey P. Jacobs, MDb, James A. Quintessenza, MDb Tampa and St Petersburg, Fla

From the Department of Pediatric Cardiovascular Surgery, Tampa Children's Hospital, Tampa,a and the Division of Thoracic and Cardiovascular Surgery, All Children's Hospital, St Petersburg,b Fla.

Received for publication Dec 26, 2001. Accepted for publication Jan 11, 2002. Address for reprints: Victor O. Morell, MD, Chief of Pediatric Cardiac Surgery, Tampa Children's Hospital, 3005 W M.L.K. Blvd, Suite 102, Tampa, FL 33607 (E-mail: vmorell@heartsurgery-csa.com).

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  		Dr Morell

 
Postpneumonectomy syndrome is an uncommon complication seen after a right pneumonectomy. In this condition there is shifting of the mediastinal contents into the vacant right pleural cavity. This results in tracheal or left main stem bronchial compression between the aorta or spine posteriorly and the left pulmonary artery anteriorly.Go Go 1-5 Malacic changes eventually develop in the affected tracheobronchial segment.Go Go 1,3 Airway compression causes respiratory symptoms, consisting of stridor, progressive dyspnea, and recurrent respiratory tract infections, in affected patients.Go Go 1-5 Once symptoms are present, aggressive management is indicated to protect the remaining lung. We describe the surgical treatment of a 6-year-old child with postpneumonectomy syndrome complicated by severe pectus excavatum.

Clinical summary

The patient is a 6-year-old girl who as a neonate underwent a right pneumonectomy for congenital arteriovenous malformations involving the right lung. Since early childhood, she had recurrent respiratory tract infections requiring multiple hospitalizations. By the time she was 2 years old, there was significant mediastinal shifting to the right, prompting . . . [Full Text of this Article]




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 Eur J Cardiothorac SurgHome page
S. Welter, M. Hinterthaner, and G. Stamatis
Heart failure following left-sided pneumonectomy in a patient with known pectus excavatum -- successful treatment using the Ravitch procedure
Eur J Cardiothorac Surg, April 1, 2006; 29(4): 630 - 631.
[Abstract] [Full Text] [PDF]


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