Stridor Post-Pneumonectomy - “The Post-pneumonectomy Syndrome”

Abstract

We report a case of a 33 year old lady who presented to our department with complaints of breathlessness and stridor. On enquiry she gave history of right pneumonectomy for right main bronchus carcinoid 15 years ago. Chest X-ray as initial investigation showed homogenous opacity in right hemothorax with mediastinal shift to right. Computed tomography of thorax showed post-pneumonectomy status with left lower lobe bronchus compression between the aorta and main pulmonary artery with post obstructive overinflation of left lower lobe. Spirometry was suggestive of an obstructive abnormality. Diagnosis of post-pneumonectomy syndrome was made and patient was treated with inhaled corticosteroids and inhaled long acting beta2 agonist.

Keywords

• Pn e umo n e c t omy
• Me d isti n a l Repositioning
• Bronchial Stenting