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European Journal of Cardio-Thoracic Surgery, Vol 2, 82-86, Copyright © 1988 by European Association for Cardio-thoracic Surgery

ARTICLES

Pneumonectomy for severe inflammatory lung disease. Results in 64 consecutive cases

MS Stevens, SJ de Villiers, JJ Stanton and FJ Steyn
Department of Cardiothoracic Surgery, University of Pretoria Medical School, South Africa.

Severe inflammatory lung disease resulting in severe unilateral pulmonary pathology necessitating pneumonectomy is still encountered in third world populations. A retrospective study of the last 64 patients undergoing pneumonectomy was performed. The underlying lung pathology was: destroyed lung due to tuberculosis in 33 patients; severe bronchiectasis in 25; necrotizing pneumonia in 4; lung abscess in 1 and hypoplastic lung in 1 patient. The perioperative management of these patients is outlined. Perioperative complications included respiratory failure in 4, secondary haemorrhage in 2 and post-pneumonectomy empyema in 5 patients. There were 2 mortalities (3.1%), both due to contralateral spillage with fulminant respiratory failure. Excellent results were achieved in 89% of the patients.

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