%A Gigovska Dimova, Irena %A Ristovski, Vladimir %A Prgova Veljanova, Biljana %A Buklioska Ilievska, Daniela %A Eftimovska-Otovic, Natasa %A Nedeska Minova, Natasa %D 2022 %T POST-PNEUMONECTOMY SYNDROME IN ADULT PRESENTING WITH RECURRENT SYNCOPE %K %X Post-pneumonectomy syndrome is a rare, late complication of pneumonectomy, caused by a mediastinal shift, rotation and deviation of the remaining lung into the contralateral hemithorax, most commonly resulting in symptomatic central airway compression.  Case report:  Recurrent syncope following a left pneumonectomy was described in a 63 year-old man, forty years after the initial treatment. Four years physician visit including the family doctor, a neurologist, neurosurgeon, physiatrist, radiologist, psychiatrist and finally a cardiologist made the diagnosis hard to establish and the treatment delayed. The post-pneumonectomy syndrome is a complex constellation of symptoms, following previous lung pneumonectomy, with various presentations mimicking different pathologies. Its diagnosis is often misleading, making the treatment and prognosis hard to predict.  Keywords: post-pneumonectomy syndrome, pneumonectomy, syncope, prosthesis implantation, mediastinal repositioning.  %U https://jms.mk/jms/article/view/vol5no3-8 %J Journal of Morphological Sciences %0 Journal Article %P 45-52%V 5 %N 3 %@ 2545-4706 %8 2022-12-29