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A post-right pneumonectomy syndrome is described which manifests symptoms of exertional dyspnea and inspiratory stridor on rapid inspiration. These symptoms were associated with marked rightward and posterior deviation of the trachea, over-distention of the left lung with its herniation into the right side of the chest and kinking of the left lower lobe bronchus. At the time of surgery, the tracheal deviation, lung herniation and the kink in the left lower lobe bronchus were immediately corrected by releasing the adhesions between the malpositioned structures and the right chest wall. To maintain the corrected positions, Silastic implants totalling a volume of 990 ml were placed into the space created in the right chest. Following surgery, exertional dyspnea was present with only extraordinary activity, and inspiratory stridor was eliminated. The patient remains asymptomatic three years following surgical correction, and is able to carry on a normal and productive life. We conclude that a syndrome associated with marked exertional dyspnea and inspiratory stridor might develop in situations of marked tracheal shift and overdistention of the remaining lung following right pneumonectomy.
K Wasserman, and
R W Jamplis, and
H Lash, and
H V Brown, and
M G Cleary, and
J Lafair
March 1994,
The Journal of thoracic and cardiovascular surgery,
K Wasserman, and
R W Jamplis, and
H Lash, and
H V Brown, and
M G Cleary, and
J Lafair
April 2020,
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K Wasserman, and
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H V Brown, and
M G Cleary, and
J Lafair
January 1998,
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K Wasserman, and
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K Wasserman, and
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M G Cleary, and
J Lafair
June 1972,
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K Wasserman, and
R W Jamplis, and
H Lash, and
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M G Cleary, and
J Lafair
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K Wasserman, and
R W Jamplis, and
H Lash, and
H V Brown, and
M G Cleary, and
J Lafair
January 1975,
British journal of plastic surgery,
K Wasserman, and
R W Jamplis, and
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M G Cleary, and
J Lafair
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Research in veterinary science,
K Wasserman, and
R W Jamplis, and
H Lash, and
H V Brown, and
M G Cleary, and
J Lafair
December 2003,
Interactive cardiovascular and thoracic surgery,
K Wasserman, and
R W Jamplis, and
H Lash, and
H V Brown, and
M G Cleary, and
J Lafair
November 2001,
The Journal of laryngology and otology,
