{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:31:52Z","timestamp":1784871112355,"version":"3.55.0"},"reference-count":8,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,3,5]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>Postpneumonectomy syndrome is a rare complication following pneumonectomy. Repositioning of the mediastinum via insertion of prosthetic implants into the postpneumonectomy space can provide symptomatic relief. We present a case of a man in his early 70s presenting with empyema necessitans 8 years after the implantation of silicon-saline prostheses for the management of postpneumonectomy syndrome. Excision of the chest wall sinus, re-do right thoracotomy and removal of the infected silicon-saline prostheses and postprocedural intrapleural irrigation led to resolution. There was no evidence of mediastinitis. At the 1-year follow-up, the patient remained well, with a centralised mediastinum without further evidence of infection of the postpneumonectomy space. This is to our knowledge the first reported case of chronic infection of a repositioned mediastinum in the context of postpneumonectomy syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2024-263481","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T03:40:16Z","timestamp":1742528416000},"page":"e263481","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Postpneumonectomy space infection eight years after mediastinal repositioning procedure"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9151-6112","authenticated-orcid":false,"given":"Edward","family":"Staniforth","sequence":"first","affiliation":[{"name":"Medical School, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhona","family":"Taberham","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Cogswell","sequence":"additional","affiliation":[{"name":"Department of Plastic & Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Belcher","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"2025082708082293000_18.3.e263481.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.11.022"},{"key":"2025082708082293000_18.3.e263481.2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1186\/s13019-023-02278-2","article-title":"Post-pneumonectomy syndrome: a systematic review of the current evidence and treatment options","volume":"18","author":"Christodoulides","year":"2023","journal-title":"J Cardiothorac Surg"},{"key":"2025082708082293000_18.3.e263481.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.05.014"},{"key":"2025082708082293000_18.3.e263481.4","doi-asserted-by":"publisher","DOI":"10.1177\/021849230601400132"},{"key":"2025082708082293000_18.3.e263481.5","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)01030-2"},{"key":"2025082708082293000_18.3.e263481.6","doi-asserted-by":"crossref","unstructured":"McRae MC , Detterbeck FC , Narayan D . Correction of postpneumonectomy syndrome using a custom implant. BMJ Case Rep 2011;2011. doi:10.1136\/bcr.11.2010.3523","DOI":"10.1136\/bcr.11.2010.3523"},{"key":"2025082708082293000_18.3.e263481.7","doi-asserted-by":"crossref","unstructured":"Kimpton J , Teh E , Cogswell L , et al . Bimodal assessment to facilitate accurate mediastinal repositioning following pneumonectomy. BMJ Case Rep 2015;2015. doi:10.1136\/bcr-2015-211190","DOI":"10.1136\/bcr-2015-211190"},{"key":"2025082708082293000_18.3.e263481.8","doi-asserted-by":"crossref","unstructured":"Belcher E , Laursen CB , Lee YCG , eds. 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