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Ann Thorac Surg 2004;78:707-709
© 2004 The Society of Thoracic Surgeons

Case report

Pneumothorax after left pneumonectomy: Implantation of an intrapleural prosthesis

Christian Perigaud, MDa, Olivier Baron, MDa*, Jean Christian Roussel, MDa, Ousama Al Habash, MD, Philippe Despins, MDa, Jean Luc Michaud, MDa,a, Daniel Duveau, MDa

a Thoracic and Cardiovascular Department, Hôpital G and R Laënnec, Nantes, France

Accepted for publication June 23, 2003.

* Address reprint requests to Dr Baron, Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital G et R Laënnec, Boulevard J. Monod, 44093 Nantes Cedex 01, France
e-mail: olivier.baron{at}chu-nantes.fr

Postpneumonectomy syndrome is defined as an airway obstruction due to mediastinal shift and rotation after pneumonectomy. A patient who had undergone a left pneumonectomy for bronchial carcinoma 13 years before presented with tension pneumothorax of her remaining lung. Although all factors relevant to the development of postpneumonectomy syndrome were ascertained, the patient had a pneumothorax rather than an airway obstruction. This pneumothorax was treated surgically. The goal of this operation was to reduce the right pleural cavity volume by implanting an intrapleural prosthesis in the pneumonectomy cavity. This treatment is identical to that used for postpneumonectomy syndrome, which allows the right lung to be rejoined with the thoracic wall.




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C. Soll, D. Hahnloser, T. Frauenfelder, E. W. Russi, W. Weder, and P. B. Kestenholz
The postpneumonectomy syndrome: clinical presentation and treatment
Eur. J. Cardiothorac. Surg., February 1, 2009; 35(2): 319 - 324.
[Abstract] [Full Text] [PDF]


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