The pneumonectomy syndrome

Excessive traction and compression of mediastinal structures can produce gas trapping, dysphagia and reflux, recurrent laryngeal nerve palsy, tracheomalacia and vascular compromise. 3 Surgical implantation of tissue expanders to reduce mediastinal shift has been reported in case series to be success...

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Bibliographic Details
Published in:Thorax 2012-07, Vol.67 (7), p.656-657
Main Authors: Hannan, L M, Joosten, S A, Steinfort, D P, Antippa, P, Irving, L B
Format: Article
Language:English
Subjects:
Assisted ventilation
Biological and medical sciences
bronchiectasis
Bronchoscopy
Cardiology. Vascular system
COPD exacerbations
Diagnosis, Differential
Female
Humans
lung cancer
Lung Neoplasms - surgery
Medical sciences
Middle Aged
non-invasive ventilation
Pneumology
Pneumonectomy
Postoperative Complications
Pulmonary arteries
Respiratory Insufficiency - diagnosis
Respiratory Insufficiency - etiology
Syndrome
Tomography, X-Ray Computed
Citations: Items that cite this one
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Description
Summary:Excessive traction and compression of mediastinal structures can produce gas trapping, dysphagia and reflux, recurrent laryngeal nerve palsy, tracheomalacia and vascular compromise. 3 Surgical implantation of tissue expanders to reduce mediastinal shift has been reported in case series to be successful in improving symptoms and often spirometric parameters. 1 2 6 Endobronchial stent placement has also been reported to provide symptomatic benefits. 7 Learning points Pneumonectomy syndrome is an uncommon complication produced by excessive mediastinal shift into the pneumonectomy space that can produce disabling respiratory and gastrointestinal symptoms.
ISSN:0040-6376
1468-3296
DOI:10.1136/thoraxjnl-2011-201078