Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Postpneumonectomy syndrome: recognition and management

A M Valji1, D E Maziak, F M Shamji

  • 1Division of Thoracic Surgery, Ottawa Civic Hospital, Ontario, Canada.

Chest
|January 1, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Abstracts of presentations to the Annual Meetings of the Canadian Society of Colon and Rectal Surgeons Canadian Association of General Surgeons Canadian Association of Thoracic Surgeons: Canadian Surgery Forum, London, Ont., Sept. 19 to 22, 2002.

Canadian journal of surgery. Journal canadien de chirurgie·2023
Same author

Canadian Surgery Forum.

Canadian journal of surgery. Journal canadien de chirurgie·2022
Same author

Midpoint transverse process to pleura catheter placement for postoperative analgesia following video-assisted thoracoscopic surgery.

Anaesthesia reports·2020
Same author

Implementing a one-day testing model improves timeliness of workup for patients with lung cancer.

Current oncology (Toronto, Ont.)·2019
Same author

Regional process redesign of lung cancer care: a learning health system pilot project.

Current oncology (Toronto, Ont.)·2018
Same author

Esophagectomy in esophageal perforations: an analysis.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2014

Postpneumonectomy syndrome (PPS) causes airway obstruction after lung removal. Surgical repositioning of the mediastinum with a saline prosthesis effectively relieved symptoms in all patients.

Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Medical Devices

Background:

  • Postpneumonectomy syndrome (PPS) is a rare complication following lung removal surgery.
  • It is characterized by mediastinal shift and rotation, leading to airway obstruction and air trapping.
  • Dyspnea is the primary symptom, significantly impacting patient quality of life.

Purpose of the Study:

  • To review the clinical experience in treating postpneumonectomy syndrome (PPS).
  • To evaluate the efficacy of surgical intervention for mediastinal repositioning in PPS patients.
  • To assess the symptomatic and functional outcomes of the described treatment.

Main Methods:

  • A retrospective review of five patients diagnosed with PPS between 1991 and 1997.
  • Diagnosis confirmed via chest radiography, echocardiography, pulmonary function tests, CT scans, and bronchoscopy.

Related Experiment Videos

  • Surgical correction involved reexploration, anterior pericardiorrhaphy, and insertion of a saline-filled Silastic prosthesis.

    • Main Results:

    • All five patients experienced complete relief from dyspnea post-surgery.
    • CT scans showed a significant mean increase of 166.7% in the obstructed bronchus diameter.
    • Peak expiratory flow rate improved by a mean of 44.2% in all patients.
    • The procedure had no associated morbidity or mortality.

    Conclusions:

    • Postpneumonectomy syndrome (PPS) should be considered in patients with progressive dyspnea after pneumonectomy.
    • Surgical repositioning of the mediastinum using a saline prosthesis and anterior pericardiorrhaphy is a safe and effective treatment.
    • This intervention provides immediate and sustained symptomatic relief for PPS.