Tracheobronchomalacia Post-Pneumonectomy: A Late Complication
| Autor: | Avinash Chaskar, Ashima Datey, Latha Sarma |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Fibre optic bronchoscopy Hindu Stridor medicine.medical_treatment Case Report Inoperable head and neck cancer Tacheobronchomalacia Post-pneumonectomy Organ donation Hypofractionated radiotherapy Pneumonectomy medicine Palliative radiotherapy Perceptions Spirituality Cancer pain Karma Head and neck cancer lcsh:R5-920 Radiotherapy business.industry Health Policy South India Distress Public Health Environmental and Occupational Health Late complication Mediastinum Cancer patients Awareness respiratory system medicine.disease Surgery Post pneumonectomy syndrome medicine.anatomical_structure Attitude Tracheobronchomalacia Spiritual concerns Right Main Bronchus Palliative care Dynamic ct medicine.symptom Qualitative study business lcsh:Medicine (General) |
| Zdroj: | Indian Journal of Palliative Care Indian Journal of Palliative Care, Vol 19, Iss 2, Pp 107-109 (2013) |
| ISSN: | 1998-3735 0973-1075 |
| Popis: | An 83-year-old male presented with dyspnoea and stridor. He had undergone pneumonectomy 40 years ago. CT scan revealed gross shift of mediastinum (post-pneumonectomy syndrome) with tortuous trachea kinked at the thoracic inlet. Fibre optic bronchoscopy showed a near total expiratory closure of trachea, right main bronchus, and segmental bronchi confirming tracheobronchomalacia. He was managed with long length, low tracheostomy in view of his poor general condition of permitting more invasive procedures. He showed adequate clinical improvement and was discharged home. Tracheobronchomalacia in post-pneumonectomy syndrome requires emergent management. Its occurrence after 40 years is very rare and may be easily missed. It can be diagnosed with dynamic CT and FOB. Although invasive management with stenting or surgical methods is routinely advised, conservative care can be effective in selected cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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