Shepard J A, Grillo H C, McLoud T C, Dedrick C G, Spizarny D L
Radiology. 1986 Dec;161(3):661-4. doi: 10.1148/radiology.161.3.3786715.
The clinical history and radiographic and bronchoscopic findings were reviewed retrospectively in five patients with right-pneumonectomy syndrome, a rare, delayed complication of pneumonectomy of the right lung. Four patients had undergone pneumonectomy in childhood or adolescence. Presenting symptoms of dyspnea and recurrent pulmonary infections in the left lung were associated with radiographic evidence of marked rightward and posterior deviation of the mediastinum, counterclockwise rotation of the heart and great vessels, and herniation of the left lung into the right, anterior side of the chest. Computed tomography, performed in four patients, best demonstrated resultant compression of the distal trachea and left main bronchus between the aorta and pulmonary artery. Malacia of the major airways (n = 4 cases) and mediastinal shift was visualized only with fluoroscopy and was confirmed by bronchoscopy. Because of the morbidity and mortality associated with dyspnea and recurrent pulmonary infections, proper radiologic evaluation is crucial, and surgical intervention is often necessary.
对5例右肺全肺切除综合征患者的临床病史、影像学及支气管镜检查结果进行了回顾性分析，该综合征是右肺全肺切除术后一种罕见的延迟并发症。4例患者在儿童期或青春期接受了全肺切除术。出现的症状包括呼吸困难和左肺反复肺部感染，影像学证据显示纵隔明显向右后方移位、心脏和大血管逆时针旋转以及左肺疝入右前胸。4例患者进行了计算机断层扫描，最清楚地显示了主动脉和肺动脉之间远端气管和左主支气管受到的压迫。仅通过荧光透视观察到主要气道软化（4例）和纵隔移位，并经支气管镜检查证实。由于呼吸困难和反复肺部感染会带来发病和死亡风险，因此进行适当的放射学评估至关重要，而且通常需要进行手术干预。
