title: [Left postpneumonectomy syndrome: early endoscopic treatment].
abstract: Postpneumonectomy syndrome is characterized by postoperative bronchial obstruction caused by mediastinal shift. The syndrome is well documented in the medical literature as a late complication of right pneumonectomy; however, it rarely occurs following resection of the left lung, and only 10 cases have been published. The pathophysiology, clinical manifestations, prognosis, and treatment are similar for both sides of the lung. We present the case of an adult patient who underwent left pneumonectomy and developed postpneumonectomy syndrome 15 months later. Stenosis of the intermediate bronchus occurred between the vertebral body and the right pulmonary artery. Endoscopic treatment with a self-expanding metal stent was successful, and complete remission was observed over the 6 months of follow-up.
authors.affiliation: Servicio de Cirugía Torácica, Hospital General Universitario, Albacete, España. carrombola@hotmail.com
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Rombolá
authors.forename: Pablo
authors.initials: P
authors.lastname: León Atance
authors.forename: Antonio Francisco
authors.initials: AF
authors.lastname: Honguero Martínez
authors.forename: Juan Luis
authors.initials: JL
authors.lastname: Rueda Martínez
authors.forename: Ana
authors.initials: A
authors.lastname: Núñez Ares
authors.forename: Manuel
authors.initials: M
authors.lastname: Vizcaya Sánchez
mesh_terms: D000328:Adult; D001982:Bronchial Diseases / Q000209:etiology* / Q000601:surgery*; D004724:Endoscopy; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000209:etiology* / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects*; D013577:Syndrome; D013997:Time Factors