Avgerinos D V, Meisner J, Harris L
Department of Surgery, Beth Israel Medical Center, Albert Einstein College of Medicine, New York, New York, United States.
Thorac Cardiovasc Surg. 2009 Feb;57(1):60-2. doi: 10.1055/s-2008-1038983. Epub 2009 Jan 23.
We report on a 42-year-old female who underwent right pneumonectomy for hemoptysis from an aspergilloma cavity. Several years postoperatively she complained of increasing shortness of breath, wheezing, and dyspnea upon exertion. Chest computed tomography showed a counterclockwise rotation of the mediastinum with obstruction of the left lower lobe bronchus. Minimally invasive repair was carried out using an intrapleural tissue expander for dissection and an adjustable saline prosthesis for mediastinal centralization. Intraoperative bronchoscopy showed complete resolution of the left lower lobe bronchial obstruction, and postoperatively her symptoms resolved completely. This is the first reported case of a minimally invasive approach for the treatment of post-pneumonectomy syndrome in the United States.
我们报告了一名42岁女性，她因曲霉菌瘤空洞咯血接受了右肺切除术。术后数年，她抱怨呼吸困难、喘息和运动时气短加重。胸部计算机断层扫描显示纵隔逆时针旋转，左肺下叶支气管阻塞。使用胸腔内组织扩张器进行解剖，并使用可调节盐水假体进行纵隔复位，实施了微创修复。术中支气管镜检查显示左肺下叶支气管阻塞完全解除，术后她的症状完全缓解。这是美国首例报道的采用微创方法治疗肺切除术后综合征的病例。
