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Ann Thorac Surg 1993;56:323-327
© 1993 The Society of Thoracic Surgeons

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Articles

Expandable prosthesis in right postpneumonectomy syndrome in childhood and adolescence

Service de Chirurgie Viscérale Infantile et Département de Pneumologie Infantile, Hôpital Armand Trousseau, Paris, France

Accepted for publication November 12, 1992.

^_* Address reprint requests to Dr Audry, Service de Chirurgie Viscérale Infantile, Hôpital Armand Trousseau, 26 avenue du Dr Arnold Netter, 75012 Paris, France.

Right pneumonectomy can lead to severe respiratory impairment due to stenosis of the left main bronchus. This syndrome is usually treated by inserting a fixed-volume prosthesis but, in children, expandable prostheses have the advantage of being adaptable to growth and permit progressive recentering of the mediastinum. We report 3 such cases, with the results of pulmonary function tests. The patients were aged 11, 17, and 22 years at the time of implantation and had undergone pneumonectomy during childhood for either bronchiectasis or complete pulmonary sequestration. All 3 patients are doing well, with a follow-up of 1 to [equation] years. Pulmonary function tests have shown a substantial improvement in the obstructive syndrome in 2 patients whereas, in the third patient, in whom the contralateral lung was not perfectly healthy, the functional improvement was only moderate.

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