POST-PNEUMONECTOMY SYNDROME IN ADULT PRESENTING WITH RECURRENT SYNCOPE: A CASE REPORT
Journal
Journal of Morphological Sciences
Date Issued
2022-12-29
Author(s)
Ristovski, Vladimir
Eftimovska Otovikj, Natasa
Nedeska Minova, Natasa
Abstract
Post-pneumonectomy syndrome is a rare, late complication of pneumonectomy, caused by a
mediastinal shift, rotation and deviation of the remaining lung into the contralateral hemithorax, most
commonly resulting in symptomatic central airway compression.
Case report
Recurrent syncope following a left pneumonectomy was described in a 63 year-old man, forty years
after the initial treatment. Four years physician visit including the family doctor, a neurologist,
neurosurgeon, physiatrist, radiologist, psychiatrist and finally a cardiologist made the diagnosis hard to
establish and the treatment delayed.
The post-pneumonectomy syndrome is a complex constellation of symptoms, following previous
lung pneumonectomy, with various presentations mimicking different pathologies.
Its diagnosis is often misleading, making the treatment and prognosis hard to predict.
mediastinal shift, rotation and deviation of the remaining lung into the contralateral hemithorax, most
commonly resulting in symptomatic central airway compression.
Case report
Recurrent syncope following a left pneumonectomy was described in a 63 year-old man, forty years
after the initial treatment. Four years physician visit including the family doctor, a neurologist,
neurosurgeon, physiatrist, radiologist, psychiatrist and finally a cardiologist made the diagnosis hard to
establish and the treatment delayed.
The post-pneumonectomy syndrome is a complex constellation of symptoms, following previous
lung pneumonectomy, with various presentations mimicking different pathologies.
Its diagnosis is often misleading, making the treatment and prognosis hard to predict.
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