HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hong Kwan Kim Jhingook Kim Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lee, Y. Articles by Kim, J. Search for Related Content PubMed Articles by Lee, Y. Articles by Kim, J. Related Collections Lung - other

J Thorac Cardiovasc Surg 2008;136:780-781
© 2008 The American Association for Thoracic Surgery

Brief Communication

Surgical correction of postpneumonectomy-like syndrome in a patient with a tuberculosis-destroyed lung

^a Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
^b Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Received for publication September 13, 2007; revisions received November 19, 2007; accepted for publication December 27, 2007.

^_* Address for reprints: Jhingook Kim, MD, Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, 50 Ilwon-Dong, Kangnam-Ku, Seoul, 135-710, Korea. (Email: jkim@smc.samsung.co.kr).

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

Postpneumonectomy syndrome is a rare condition that is characterized by dyspnea resulting from an extreme mediastinal shift and bronchial compression of the residual lung after right or left pneumonectomy.^1-3 Severe fibrosis of the lung such as is seen in a lung destroyed by tuberculosis (TB) can cause similar clinical features in the absence of pneumonectomy.⁴

We report here a couple of unique cases of postpneumonectomy syndrome without pneumonectomy in which treatment via pneumonectomy and mediastinal repositioning with tissue expanders was successful.

Clinical Summaries

Patient 1
A 47-year-old woman had had severe progressive dyspnea for 6 months. She had had pulmonary TB 20 years earlier, which was completely cured by administration of anti-TB drugs. On physical examination, breath sounds were decreased in the left lung field. A simple chest radiograph and computed tomogram ( Figure 1, A) revealed that the left lung was almost completely destroyed and the right main bronchus was compressed by the right main pulmonary artery and the vertebral body.

View larger version (71K):   Figure 1. A, Preoperative chest computed . . . [Full Text of this Article]

This article has been cited by other articles:

				L. Bai, Z. Hong, C. Gong, D. Yan, and Z. Liang Surgical treatment efficacy in 172 cases of tuberculosis-destroyed lungs Eur J Cardiothorac Surg, February 1, 2012; 41(2): 335 - 340. [Abstract] [Full Text] [PDF]