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[Autopneumonectomie. A Forgotten Disease]
H J Gerhardy1, R Weber1, P Lux2
1Abteilung für Kardiologie, Rhythmologie und konservative Intensivmedizin, Augusta-Krankenhaus Düsseldorf, Akademisches Lehrkrankenhaus der Heinrich-Heine-Universität Düsseldorf.
Pneumologie (Stuttgart, Germany)
|June 20, 2020
Summary
This case study highlights autopneumonectomy, a rare condition where one lung is destroyed. Diagnosis involves patient history and imaging, with treatment including pacemakers and surgery.
Area of Science:
- Cardiology
- Pulmonology
- Radiology
Background:
- An 80-year-old female presented with left internal carotid artery stenosis and a history of hemoptysis.
- The patient exhibited a rare condition diagnosed as autopneumonectomy.
Observation:
- Diagnostic imaging revealed a mediastinal shift, leftward heart displacement, a completely destroyed left lung, and compensatory enlargement of the right lung crossing the midline.
- Pulmonary function tests indicated a moderate restrictive ventilation disorder.
Findings:
- The diagnosis of autopneumonectomy was established through a combination of patient history and radiological findings.
- The patient underwent successful pacemaker implantation and carotid endarterectomy.
Implications:
- Post-autopneumonectomy syndrome, similar to post-pneumonectomy syndrome, can occur rarely and may necessitate surgical intervention.
- Antibiotics are crucial for managing respiratory infections post-diagnosis.
- Subclavian vein pacemaker electrode insertion is contraindicated due to the risk of pneumothorax.
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