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Post-pneumonectomy and post-lobectomy syndromes: case series and review of the literature

Grigoris Stratakos, Vlassis Vitsas, Nikos Koufos, Charalambos Zissis, Philip Emmanouil, Nikos Koulouris
  • Grigoris Stratakos
    1st Respiratory Medicine Department, National and Kapodistrian University of Athens, Greece
  • Vlassis Vitsas
    1st Respiratory Medicine Department, National and Kapodistrian University of Athens, Greece
  • Nikos Koufos
    1st Respiratory Medicine Department, National and Kapodistrian University of Athens, Greece | koufos_nikos@hotmail.com
  • Charalambos Zissis
    Thoracic and Cardiovascular Surgery Department, “Evangelismos” Hospital, Greece
  • Philip Emmanouil
    1st Respiratory Medicine Department, National and Kapodistrian University of Athens, Greece
  • Nikos Koulouris
    1st Respiratory Medicine Department, National and Kapodistrian University of Athens, Greece

Abstract

The post-pneumonectomy syndrome is a rare complication consisting of rotation and herniation of the mediastinal structures, the remaining lung and the respective bronchi, into the contralateral hemithorax. This situation may produce symptomatic airway obstruction and varies in its presentation and severity. We describe one case of right and one of left pneumonectomy syndrome as well as one case of post-lobectomy syndrome. We review the literature on the pathophysiology, the clinical, radiological and bronchoscopic characteristics of this rare entity and discuss all available therapeutic alternatives.

Keywords

Pneumonectomy; lobectomy; airway obstruction; bronchoscopy.

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Submitted: 2017-01-10 16:06:25
Published: 2017-05-18 10:47:01
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Copyright (c) 2017 Grigoris Stratakos, Vlassis Vitsas, Nikos Koufos, Charalambos Zissis, Philip Emmanouil, Nikos Koulouris

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