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The Annals of Thoracic Surgery, Vol 50, 465-466, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Silastic prosthesis plombage for right postpneumonectomy syndrome

FA Riveron, C Adams, JW Lewis Jr, D Ochs, C Glines and J Popovich Jr
Division of Thoracic and Cardiac Surgery, Henry Ford Hospital, Detroit, Michigan 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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