Related Experiment Video
Updated: Jan 12, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Unilateral Hyperlucent Lung Syndrome (Swyer-James-Macleod Syndrome) Managed by Video-Assisted Thoracoscopic Surgery
Anna Kornafeld1, Ian Makey2, Andras Khoor3
1Department of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota.
Abstract:
We present a case of a 51-year-old woman whose lung volume reduction surgery for left-sided Swyer-James-MacLeod syndrome by video-assisted thoracoscopic surgery was converted to total pneumonectomy as a result of fragility of the diseased left lung. The patient was discharged on room air in a significantly improved condition. Only a few cases of this rare disease have been reported where an older patient underwent pneumonectomy. When video-assisted thoracoscopic surgery bullectomy is not a viable option, total pneumonectomy can be safely performed and can lead to significant improvement in symptoms and supplemental oxygen requirement even in older patients.
Related Concept Videos
Pneumothorax-II
Clinical Manifestations:
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Pleural Effusion II: Symptoms and Management
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Chronic Obstructive Pulmonary Disease-V: Management
Smoking Cessation

