A Case of Postpneumonectomy Syndrome Treated with Endobronchial Stent

기관지 스텐트 삽입으로 치료한 전폐절제술후 증후군 1예

Postpneumonectomy syndrome is a rare complication that usually occurs in younger patients within the first year after a right total lung resection. Its clinical presentations are stridor, dyspnea, and recurrent pulmonary infections. An airway obstruction secondary to the extreme mediastinal shift and ratation after a pneumonectomy is the main mechanism. It is commonly complicated with tracheobronchomalacia due to longstanding airway compression. The management modalities involve a repositioning of the mediastinum with volume expansion of the pneumonectomy site by a expandable prosthesis. however, other methods including an endobronchial stent insertion should be considered in the presence of a tracheobronchomalacia or in poor surgical candidates. Here we describe a case of postpneumonectomy syndrome complicated by a bronchomalacia, which was successfully treated with a self-expandable endobronchal stent.

전폐절제술후 증후군은 우측 전폐절제술 후 기도폐쇄가 발생하는 드문 합병증으로 기관지연화증이 동반되는 경우는 수술적인 치료로 교정이 어렵다. 저자 등은 기관지연화증을 동반한 전폐절제술후 증후군 환자를 기관지내 스텐트삽입으로 성공적으로 치료한 경험을 하였기에 문헌고찰과 함께 보고하는 바이다.