POST-PNEUMONECTOMY SYNDROME IN ADULT PRESENTING WITH RECURRENT SYNCOPE

A Case Report

  • Irena Gigovska Dimova Department of Urgent medicine and Intensive Care, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
  • Vladimir Ristovski Department of Cardiology, Faculty of Medical Sciences, University "Goce Delcev" in Stip, North Macedonia
  • Biljana Prgova Veljanova Radiology Institute, Clinical Center Mother Theresa, Skopje, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
  • Daniela Buklioska Ilievska Department of Pulmonology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
  • Natasa Eftimovska-Otovic Department of Nephrology and Dialysis, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
  • Natasa Nedeska Minova Department of Endocrinology, General Hospital 8th September in Skopje, Faculty of Medical Sciences, University "Goce Delcev" in Stip, North Macedonia

Abstract

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. 

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Published
2022-12-29
How to Cite
GIGOVSKA DIMOVA, Irena et al. POST-PNEUMONECTOMY SYNDROME IN ADULT PRESENTING WITH RECURRENT SYNCOPE. Journal of Morphological Sciences, [S.l.], v. 5, n. 3, p. 45-52, dec. 2022. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/vol5no3-8>. Date accessed: 09 feb. 2023.
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Articles