Kelly R F, Hunter D W, Maddaus M A
Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis 55455, USA.
Ann Thorac Surg. 2001 Feb;71(2):701-3. doi: 10.1016/s0003-4975(00)01664-7.
Postpneumonectomy syndrome, a late complication of pneumonectomy, is secondary to shift of the mediastinum and remaining lung toward the pneumonectomy side, leading to tracheobronchial compression between the vertebral body and the aorta or pulmonary artery. Obstructive airway symptoms are usually due to tracheobronchial tree compression, however, secondary airway malacia may develop. We report herein a case of postpneumonectomy syndrome with secondary bronchomalacia after left pneumonectomy in a patient with normal mediastinal vascular anatomy.
肺切除术后综合征是肺切除术后的一种晚期并发症，继发于纵隔和余肺向肺切除侧移位，导致椎体与主动脉或肺动脉之间的气管支气管受压。气道梗阻症状通常是由于气管支气管树受压引起的，然而，也可能会出现继发性气道软化。我们在此报告一例纵隔血管解剖结构正常的患者，在左肺切除术后发生肺切除术后综合征并伴有继发性支气管软化的病例。
