Eur J Cardiothorac Surg 2007;32:796. doi:10.1016/j.ejcts.2007.07.026
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
Images in cardio-thoracic surgery |
Unusual evolution of a pneumonectomy cavity
Jose Ceron*,
Juan C. Peñalver,
Juan Escriva,
Jose Padilla
Department of Thoracic Surgery, University Hospital LA FE, Valencia, Spain
Received 12 April 2007;
accepted 16 July 2007.
* Corresponding author. Address: Campanar Ave. 21st, Valencia 46009, Spain. Tel.: +34 96 1973309; fax: +34 96 1973309. (Email: ceronjs{at}yahoo.es).
Key Words: Bronchial tumor Surgery Lung cancer Pneumonectomy
We present a case of a 52-year-old patient with a stage IIIA adenocarcinoma who underwent a left pneumonectomy. Two years later, the right lung herniated across the midline so far that the pneumonectomy space had been essentially obliterated (Figs. 1 and 2
). Despite this, the patient was asymptomatic.

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Fig. 1. Chest X-ray showing right lung occupying both hemithorax and mediastinum slightly turned aside to the left.
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Fig. 2. Chest CT showing the right pulmonary artery and the right lung adapted to the whole thoracic cavity. Note the absence of left pleural cavity.
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