title: Long-term outcome of nitinol stenting to treat asphyxia caused by postpneumonectomy syndrome.
abstract: The long-term outcome of nitinol stents introduced into a patient with postpneumonectomy syndrome is described. Postpneumonectomy syndrome is a rare but crucial complication after pneumonectomy characterized by severe dyspnoea and recurrent airway infection caused by compression of the main bronchus. Surgical correction of mediastinal displacement and endobronchial stent placement are two major treatments for this complication; however, endobronchial stenting may be limited to those who are not suitable for operative procedures because long-term management is difficult in terms of controlling airway infections. A patient in whom we introduced double nitinol stents was successfully rescued from an emergent situation; unfortunately, he ultimately succumbed to recurrent pneumonia due to Pseudomonas aeruginosa 12 years after stent insertion.
authors.affiliation: Department of Thoracic Surgery Miyagi Cancer Center Natori Japan; Department of Thoracic Surgery Sendai Medical Center Sendai Japan.
authors.forename: Jiro
authors.initials: J
authors.lastname: Abe
authors.affiliation: Department of Thoracic Surgery Sendai Medical Center Sendai Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Hasumi
authors.affiliation: Department of Thoracic Surgery Miyagi Cancer Center Natori Japan; Department of Thoracic Surgery Sendai Medical Center Sendai Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Tanaka
authors.affiliation: Department of Thoracic Surgery Sendai Medical Center Sendai Japan.
authors.forename: Yasuki
authors.initials: Y
authors.lastname: Saito
authors.affiliation: Department of Thoracic Surgery Sendai Medical Center Sendai Japan.
authors.forename: Keishi
authors.initials: K
authors.lastname: Kanma
authors.affiliation: Department of Thoracic Surgery Miyagi Cancer Center Natori Japan.
authors.forename: Satomi
authors.initials: S
authors.lastname: Takahashi
keywords: Pneumonectomy; Pseudomonas aeruginosa; postpneumonectomy syndrome; prosthesis; stent