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Ann Thorac Surg 1994;57:1021-1023
© 1994 The Society of Thoracic Surgeons

Articles

Videothoracoscopic pleurectomy after contralateral single-lung transplantation

David A. Waller, FRCS*, Ian D. Conacher, FRCP, John H. Dark, FRCS

Regional Cardiothoracic Centre, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom

Accepted for publication July 21, 1993.

* Address reprint requests to Mr Waller, Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne NE7 7DN, UK.

Left single-lung transplantation in a 46-year-old man was complicated by spontaneous contralateral pneumothorax during the immediate postoperative period. This persisted despite chemical pleurodesis, but was successfully treated by videothoracoscopic pleurectomy, with minimal effect on respiratory function. The increasing use of single-lung transplantation for emphysema may increase the incidence of such problems from the native lung. Minimally invasive techniques may be of great clinical benefit in this situtation.




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