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Ann Thorac Surg 1990;50:465-466
© 1990 The Society of Thoracic Surgeons

Articles

Silastic prosthesis plombage for right postpneumonectomy syndrome

Fernando A. Riveron, MDa,b, Craig Adams, MDa,b, Joseph W. Lewis, Jr, MD*,a,b, Deborah Ochs, MDa,b, Cynthia Glines, MDa,b, John Popovich, Jr, MDa,b

a Division of Thoracic and Cardiac Surgery and Department of Pulmonary and Critical Care Medicine, Henry Ford Hospital, Detroit, USA
b Munson Medical Center, Traverse City, Michigan, USA

Accepted for publication March 19, 1990.

* Address reprint requests to Dr Lewis, Division of Cardiac and Thoracic Surgery, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202.

In rare instances, right pneumonectomy can produce progressive exertional dyspnea and reduce ventilatory reserve because of extreme mediastinal shift (right postpneumonectomy syndrome). The diagnosis can be made by bronchoscopy and computed tomography. We report a case of a 43-year-old patient in whom plombage with two Silastic breast implants produced mediastinal derotation and symptomatic relief of this syndrome.




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