02 August 2022: Articles
Contralateral Pneumonectomy 27 Years After Right Single-Lung Transplantation for Emphysema: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Georges Boulos A , Raoul Shorer D , Wolfram Karenovics B , Frédéric Triponez B , Benoit Bedat D , Marc-Joseph Licker A*DOI: 10.12659/AJCR.936748
Am J Case Rep 2022; 23:e936748
Table 3. Reported cases of pneumonectomy after single-lung transplantation and native lung hyperinflation.
| Author (year) | Indication for SLT | Time to respiratory symptoms | Complications in the native lung | Respiratory symptoms | Thoracic procedure | Postoperative course |
|---|---|---|---|---|---|---|
| Boulos et al [current case] | Broncho-emphysema | 27 years | Hyperinflation Mediastinal shift | Dyspnea | Pneumonectomy by minimal-invasive thoracotomy | Atrial fibrillation; hospital discharge on POD10 with improved walking capacity |
| Abi Jaoude et al (2016) []9 | Alpha-1-antitrypsin deficiency | 12 years | Hyperinflation Mediastinal shift | Hemoptysis | Pneumonectomy by VATS | Hospital discharge on POD4 |
| Liu et al (2014) []10 | Pulmonary lymphangio-Leiomyomatosis | 3 years | Hyperinflation Mediastinal shift | Dyspnea | Anatomical bilobectomy (RM and RLL) | Hospital discharge on POD21 with improved PFTs |
| Novick et al (1991) []11 | Alpha-1 antitrypsin deficiency | 17 days | Multiple leaking bullae requiring chest tube drainage | Dependent on mechanical ventilatory support | Pneumonectomy by thoracotomy | Polyneuropathy requiring mechanical ventilatory support for 11 weeks Weaned from supplemental oxygen on POD 105 |
| PFTs – pulmonary function tests; POD – postoperative day; RM and RLL – right middle and right lower lobectomy; VATS – video-assisted thoracic surgery. | ||||||