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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 SLTTime to respiratory symptomsComplications in the native lungRespiratory symptomsThoracic procedurePostoperative course
Boulos et al [current case]Broncho-emphysema27 yearsHyperinflation Mediastinal shiftDyspneaPneumonectomy by minimal-invasive thoracotomyAtrial fibrillation; hospital discharge on POD10 with improved walking capacity
Abi Jaoude et al (2016) []9 Alpha-1-antitrypsin deficiency12 yearsHyperinflation Mediastinal shiftHemoptysisPneumonectomy by VATSHospital discharge on POD4
Liu et al (2014) []10 Pulmonary lymphangio-Leiomyomatosis3 yearsHyperinflation Mediastinal shiftDyspneaAnatomical bilobectomy (RM and RLL)Hospital discharge on POD21 with improved PFTs
Novick et al (1991) []11 Alpha-1 antitrypsin deficiency17 daysMultiple leaking bullae requiring chest tube drainageDependent on mechanical ventilatory supportPneumonectomy by thoracotomyPolyneuropathy 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.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923