Silastic prosthesis plombage for right postpneumonectomy syndrome.
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.
Division of Thoracic and Cardiac Surgery, Henry Ford Hospital, Detroit, Michigan 48202.
F A
FA
Riveron
C
C
Adams
J W
JW
Lewis
D
D
Ochs
C
C
Glines
J
J
Popovich
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D001980:Bronchi; D004417:Dyspnea / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D011013:Pneumonectomy / Q000009:adverse effects*; D011312:Pressure; D019736:Prostheses and Implants; D012826:Silicone Elastomers
D012826:Silicone Elastomers