{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T04:55:00Z","timestamp":1769921700826,"version":"3.49.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":146,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Mediastinal repositioning and the use of allogenic implants to obliterate the postpneumonectomy space is the main principle of postpneumonectomy syndrome (PPS) correction. We present a rare case with a PPS in combination with a congenital pectus excavatum. As a pectus excavatus deformity reduces retrosternal space, simple repositioning of the heart is impossible unless combined with a sternum elevation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>Two years after left sided pneumonectomy a 30 year old female was admitted with progressive exertional dyspnea and stridor and not able to do her basic activities. Chest CT-scan and bronchoscopy revealed severe right main bronchus stenosis, compression of hilar vessels and the presence of a pectus excavatum deformity. A single stage operative correction was performed with sternum repositioning by a Ravitch\u2019s procedure, pericardial fixation to the right sternal edge and obliteration of the left thoracic cavity with two silicone breast implants. All complaints disappeared within 48 h.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>To the best of our knowledge, this is the first report about successful treatment of PPS aggravated by a preexisting pectus excavatum in an adult patient. The durability and migration of the silicone implants and the volume reduction of the pericardial sac during fixation to the sternum continues to remain a concern.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Single stage correction of PPS and pectus deformity is feasible and seems to be the appropriate treatment for both pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.05.044","type":"journal-article","created":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T02:37:34Z","timestamp":1590719854000},"page":"27-31","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Correction of a postpneumonectomy syndrome with congenital pectus excavatum using Ravitch\u2019s procedure and silicone breast implants. Report of a case"],"prefix":"10.1097","volume":"72","author":[{"given":"Weam","family":"Essaleh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz","family":"Stanzel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Welter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-6-20260114","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1378\/chest.75.1.78","article-title":"Post-pneumonectomy syndrome. Surgical correction using Silastic implants","volume":"75","author":"Wasserman","year":"1979","journal-title":"Chest"},{"key":"R2-6-20260114","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1016\/0003-4975(92)91006-U","article-title":"Postpneumonectomy syndrome: diagnosis, management, and results","volume":"54","author":"Grillo","year":"1992","journal-title":"Ann. Thorac. Surg"},{"key":"R3-6-20260114","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1111\/1759-7714.12282","article-title":"Management of post-pneumonectomy syndrome using tissue expanders","volume":"7","author":"Jung","year":"2016","journal-title":"Thorac. Cancer"},{"key":"R5-6-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R6-6-20260114","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.ejcts.2008.07.070","article-title":"The postpneumonectomy syndrome: clinical presentation and treatment","volume":"35","author":"Soll","year":"2009","journal-title":"Eur. J. Cardiothorac. Surg"},{"key":"R7-6-20260114","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.ejcts.2005.11.041","article-title":"Heart failure following left-sided pneumonectomy in a patient with known pectus excavatum\u2014successful treatment using the ravitch procedure","volume":"29","author":"Welter","year":"2006","journal-title":"Eur. J. Cardiothorac. Surg"},{"key":"R8-6-20260114","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1067\/mtc.2002.122894","article-title":"Right postpneumonectomy syndrome and severe pectus excavatum in a child: surgical management","volume":"124","author":"Morell","year":"2002","journal-title":"J. Thorac. Cardiovasc. Surg"},{"key":"R9-6-20260114","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/S1052-3359(25)00442-9","article-title":"Late complications. Postpneumonectomy syndrome","volume":"9","author":"Mehran","year":"1999","journal-title":"Chest Surg. Clin. N. 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Chest Dis"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122030345X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122030345X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.05.044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:06:09Z","timestamp":1768395969000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.05.044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.05.044","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}