기관지 스텐트 삽입으로 치료한 전폐절제술후 증후군 1예

• Published in: Tuberculosis and respiratory diseases Vol. 53; no. 3; pp. 325 - 331
• Main Authors: 정성현, 조혜진, 이형노, 이형숙, 신승수, 오윤정, 박광주, 황성철, 원제환, 박경주, Jeong, Seong-Hyun, Cho, Hye-Jin, Lee, Hyoung-No, Lee, Hyung-Sook, Sheen, Seung-Soo, Oh, Yoon-Jung, Park, Kwang-Joo, Hwang, Sung-Chul, Won, Jae-Hwan, Park, Kyung-Joo
• Format: Journal Article
• Language: Korean
• Published: 대한결핵및호흡기학회 01-09-2002
• Subjects: 내과학; Endobronchal stent; Pneumonectomy; Operation; Postpneumonectomy syndrome; Tracheobronchomalacia
• ISSN: 1738-3536; 2005-6184

Postpneumonectomy syndrome is a rare complication that usually occurs in younger patients within the first year after a right total lung resection. Its clinical presentations are stridor, dyspnea, and recurrent pulmonary infections. An airway obstruction secondary to the extreme mediastinal shift and ratation after a pneumonectomy is the main mechanism. It is commonly complicated with tracheobronchomalacia due to longstanding airway compression. The management modalities involve a repositioning of the mediastinum with volume expansion of the pneumonectomy site by a expandable prosthesis. however, other methods including an endobronchial stent insertion should be considered in the presence of a tracheobronchomalacia or in poor surgical candidates. Here we describe a case of postpneumonectomy syndrome complicated by a bronchomalacia, which was successfully treated with a self-expandable endobronchal stent. 전폐절제술후 증후군은 우측 전폐절제술 후 기도폐쇄가 발생하는 드문 합병증으로 기관지연화증이 동반되는 경우는 수술적인 치료로 교정이 어렵다. 저자 등은 기관지연화증을 동반한 전폐절제술후 증후군 환자를 기관지내 스텐트삽입으로 성공적으로 치료한 경험을 하였기에 문헌고찰과 함께 보고하는 바이다.