Thorac Cardiovasc Surg 2011; 59(1): 60-62
DOI: 10.1055/s-0030-1250202
Case Reports/Thoracic

© Georg Thieme Verlag KG Stuttgart · New York

Combined Spontaneous Contralateral Pneumothorax and Post-Pneumonectomy Mediastinal Shift-Associated Dextrocardia

M. A. Deutsch1 [*] , F. Martetschlaeger2 [*] , D. Muenzel3 , J. G. D'Haese4 , M. Krane1 , R. Bauernschmitt1 , R. Lange1 , R. Bumm4
  • 1Department of Cardiovascular Surgery, German Heart Center, Munich, Germany
  • 2Department for Trauma Surgery, University Hospital Rechts der Isar, Munich Technical University, Munich, Germany
  • 3Department of Clinical Radiology, University Hospital Rechts der Isar, Munich Technical University, Munich, Germany
  • 4Department of Surgery, University Hospital Rechts der Isar, Munich Technical University, Munich, Germany
Further Information

Publication History

received June 1, 2010

Publication Date:
17 January 2011 (online)

Abstract

We report here on an unusual late postoperative presentation of extreme post-pneumonectomy dextrocardia and spontaneous contralateral pneumothorax presenting as late complications occurring approximately 2 years after right-sided pneumonectomy. Computed tomography is the diagnostic modality of choice to obtain information on anatomical changes within the post-pneumonectomy space. Knowledge of the spectrum of cardiopulmonary, pleural, and other complications after lung resection is important to properly manage complications in post-pneumonectomy patients.

References

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  • 2 Maniwa T, Saito Y, Saito T, Kaneda H, Imamura H. Evaluation of chest computed tomography in patients after pneumonectomy to predict contralateral pneumothorax.  Gen Thorac Cardiovasc Surg. 2009;  57 (1) 28-32
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  • 5 Smulders S A, Holverda S, Vonk-Noordegraaf A, van den Bosch H C, Post J C, Marcus J T et al. Cardiac function and position more than 5 years after pneumonectomy.  Ann Thorac Surg. 2007;  83 (6) 1986-1992

1 M. A. Deutsch and F. Martetschlaeger contributed equally to this work.

Dr. Marcus André Deutsch, MD

Klinik für Herz- und Gefäßchirurgie
Deutsches Herzzentrum München

Lazarettstr. 36

80636 München

Germany

Phone: +49 8 91 21 80

Fax: +49 89 12 18 41 23

Email: deutsch@dhm.mhn.de

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