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Eur J Cardiothorac Surg 2003;23:238
© 2003 Elsevier Science NL

Images in cardio-thoracic surgery

Remodeling after right pneumonectomy

Andrea Campionea*, Massimo Cacchiarellib, Luca Pazzinib, Giuseppe Gottia

a Thoracic Surgery Unit, University Hospital of Siena, Viale Bracci 1, 53100 Siena, Italy
b Thoracic Surgery Unit, Hospital of Arezzo, Arezzo, Italy

Received 12 August 2002; received in revised form 16 October 2002; accepted 7 November 2002.

* Corresponding author. Tel.: +39-328-7421444; fax: +39-0577-586168
e-mail: andikampione{at}yahoo.it

Key Words: Pneumonectomy • Lung cancer • Postpneumonectomy syndrome

A 56-year-old male underwent right pneumonectomy for hilar lung cancer. After 12 months he was doing well but he had a chest CT-scan for other reasons. Images showed an extreme shift of the mediastinum with herniation of contralateral lung (Figs. 1 and 2) . The patient does not complain of any symptom of postpneumonectomy syndrome.



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  		Fig. 1. Chest X-ray after right pneumonectomy associated with a large mediastinal shift.

 


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  		Fig. 2. Chest CT-scan showing the remodeling after right pneumonectomy.

 




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