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J Thorac Cardiovasc Surg 2007;133:264-265
© 2007 The American Association for Thoracic Surgery

Brief Communication

Thoracoscopic mediastinal repositioning for postpneumonectomy syndrome

Division of Thoracic Surgery, Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH

Received for publication July 6, 2006; accepted for publication August 8, 2006.

^_* Address for reprints: Michael F. Reed, MD, University of Cincinnati Medical Center, Department of Surgery, Division of Thoracic Surgery, 231 Albert B. Sabin Way, ML 0558, Cincinnati, OH 45367-0558. (Email: michael.reed@uc.edu).

The first 20% of the full text of this article appears below.

Postpneumonectomy syndrome is characterized by excessive mediastinal rotation and shift resulting in main bronchial obstruction.¹ More common in children, women, and those undergoing their first thoracic procedure, this entity of symptomatic airway compression may occur after right or left pneumonectomy.^2,3 Symptoms including stridor, dyspnea, and recurrent respiratory infections should be investigated by computed tomography (CT) and bronchoscopy. Patients found to have postpneumonectomy syndrome should undergo prompt therapy to alleviate their symptoms and prevent irreversible malacic changes of the airway. Here we report thoracoscopic mediastinal repositioning with intrapleural prostheses in a young woman in whom dyspnea and stridor developed after a right pneumonectomy.

Clinical Summary

A 20-year-old woman with Swyer–James (MacLeod) syndrome underwent thoracoscopic right pneumonectomy at 19 years of age. Her initial postoperative course was uneventful. However, mild dyspnea and stridor developed approximately 3 months after surgery. Over the ensuing 4 . . . [Full Text of this Article]

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