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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.

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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.


Figure 1
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Fig. 1. Chest X-ray showing right lung occupying both hemithorax and mediastinum slightly turned aside to the left.

 

Figure 2
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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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Right arrow Pleura


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