Treatment of postpneumonectomy syndrome with silicone breast implant and chimeric latissimus dorsi and serratus anterior muscle flaps

Yıl 2024, Cilt: 49 Sayı: 2, 509 – 511, 30.06.2024

Eyüp Gencel , Alper Avci , Ömer Kokaçya , İbrahim Tabakan , Cemal Özçelik

https://doi.org/10.17826/cumj.1356617

Öz

11 yaşında bir hastada postpnömonektomi sendromunun silikon meme implantı ile beraber latissimus dorsi ve serratus kas flepleri ile tedavisini bildirilmektedir. Hasta konjenital kistik adenomatoid malformasyon nedeniyle yapılan pnömonektomi ameliyatının postoperatif 5. ayında şiddetli nefes darlığı ve öksürük şikayetiyle başvurdu. Tomografi ve bronkoskopik incelemede sağa mediastinal kayma tespit edildi. Kalp ile sağ pnömonektomi bölgesi arasındaki fibrotik doku diseke edilerek ana bronş serbestleştirildi ve medialize edildi. Ölü boşluk silikon meme implantı ile dolduruldu. Latissimus dorsi ve serratus anterior kas flepleri implantın üzerini örtmek ve implant ile ana damarlar arasında bariyer oluşturmak için kullanıldı.

Anahtar Kelimeler

pnömonektomi, meme implantı, latissimus dorsi, serratus, flep

Kaynakça

• Wasserman K, Jamplis RW, Lash H, Brown HV, Cleary MG, Lafair J. Post-pneumonectomy syndrome. Surgical correction using Silastic implants. Chest. 1979;75:78-81.
• Soll C, Hahnloser D, Frauenfelder T, Russi EW, Weder W, Kestenholz PB. The postpneumonectomy syndrome: clinical presentation and treatment. Eur J Cardiothorac Surg. 2009;35:319-24.
• Abe J, Hasumi T, Tanaka R, Saito Y, Kanma K, Takahashi S. Long-term outcome of nitinol stenting to treat asphyxia caused by postpneumonectomy syndrome. Respirol Case Rep. 2017;5:e00207.
• Macaré van Maurik AF, Stubenitsky BM, van Swieten HA, Duurkens VA, Laban E, Kon M. 2007. Use of tissue expanders in adult postpneumonectomy syndrome. J Thorac Cardiovasc Surg. 2007;134:608-12.
• Ozcelik C, Onat S, Askar I, Topal E. 2004. Surgical correction of postpneumonectomy syndrome by intrapleural expandable prosthesis in a child. Interact Cardiovasc Thorac Surg. 2004;3:390-2.
• Wang B, Tan S, Yu F. 2018. Correction of postpneumonectomy syndrome with tridimensional carbon fiber-printed implant. J Thorac Cardiovasc Surg. 2018;155:e135-7.

Treatment of postpneumonectomy syndrome with silicone breast implant and chimeric latissimus dorsi and serratus anterior muscle flaps

Yıl 2024, Cilt: 49 Sayı: 2, 509 – 511, 30.06.2024

Eyüp Gencel , Alper Avci , Ömer Kokaçya , İbrahim Tabakan , Cemal Özçelik

https://doi.org/10.17826/cumj.1356617

Öz

We report treatment of postpneumonectomy syndrome in a 11 years old boy by silicone breast implant and latissimus dorsi and serratus muscle flaps. The patient was admitted for with severe dyspnea and cough at the postoperative 5th month of pneumonectomy operation for congenital cystic adenomatoid malformation. Tomographic and bronchoscopic examinations revealed right mediastinal shift. Fibrotic tissue between heart and right pneumonectomy site was dissected, main bronchus was released and medialized. Dead space was filled with silicone breast implant. Latissimus dorsi and serratus anterior muscle flaps were used to cover and also to create a barrier between implant and major vessels.

Anahtar Kelimeler

pneumonectomy, breast implant, latismus dorsi, serratus, flap

Kaynakça

• Wasserman K, Jamplis RW, Lash H, Brown HV, Cleary MG, Lafair J. Post-pneumonectomy syndrome. Surgical correction using Silastic implants. Chest. 1979;75:78-81.
• Soll C, Hahnloser D, Frauenfelder T, Russi EW, Weder W, Kestenholz PB. The postpneumonectomy syndrome: clinical presentation and treatment. Eur J Cardiothorac Surg. 2009;35:319-24.
• Abe J, Hasumi T, Tanaka R, Saito Y, Kanma K, Takahashi S. Long-term outcome of nitinol stenting to treat asphyxia caused by postpneumonectomy syndrome. Respirol Case Rep. 2017;5:e00207.
• Macaré van Maurik AF, Stubenitsky BM, van Swieten HA, Duurkens VA, Laban E, Kon M. 2007. Use of tissue expanders in adult postpneumonectomy syndrome. J Thorac Cardiovasc Surg. 2007;134:608-12.
• Ozcelik C, Onat S, Askar I, Topal E. 2004. Surgical correction of postpneumonectomy syndrome by intrapleural expandable prosthesis in a child. Interact Cardiovasc Thorac Surg. 2004;3:390-2.
• Wang B, Tan S, Yu F. 2018. Correction of postpneumonectomy syndrome with tridimensional carbon fiber-printed implant. J Thorac Cardiovasc Surg. 2018;155:e135-7.

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