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Eur J Cardiothorac Surg 2003;24:304-305
© 2003 Elsevier Science NL

Images in cardio-thoracic surgery

Asymptomatic post-pneumonectomy over-expansion of the residual lung

Melih Kaptanoglua*, Aydin Nadira, Cesur Gumusb, Kasim Dogana

a Department of Thoracic Surgery, Department of Radiology, School of Medicine, Cumhuriyet University, PK: 702, 58141 Sivas, Turkey
b Department of Radiology, School of Medicine, Cumhuriyet University, Sivas, Turkey

Received 26 March 2003; received in revised form 11 April 2003; accepted 15 April 2003.

* Corresponding author. Tel.: +90-346-219-1300x2146; fax: +90-346-219-1284
e-mail: unknown{at}ttnet.net.tr

Key Words: Pneumonectomy • Postpneumonectomy • pulmonary • Resection

A 23-year-old man had undergone right pneumonectomy 12 years previously for bronchiectasis in another clinic. Chest X-ray and three-dimensional computed tomography showed lung overgrowth (Figs. 1 and 2) .



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  		Fig. 1. Chest X-ray showed right-sided heart and clear lung fields on both hemithorax. Air tracheobronchogram and metallic clip at right bronchial stump are also seen.

 


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  		Fig. 2. (A) Thorax computed tomography revealed over-expansion of the remaining lung after right pneumonectomy. Mediastinal structures along with left upper lobe and lingula moved into the right hemithorax. No chest wall deformity was observed. (B) Three-dimensional reconstruction of same computed tomogram (upper posterior view) shows lung expansion.

 
Because a possible pneumothorax should be catastrophic for him, he should be closely monitored regarding any invasive diagnostic procedure.





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