Surgical Treatment of Huge Empyema which Makes Total Compression of Ipsilateral Lung Parenchyma and Induces Shifting of Mediastinum Resulting in Cardiopulmonary Dysfunction

Bongsuk Park, Byungmo Gu, Hyoungsoo Kim, Weonyong Lee, Yongjoon Ra

Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, Hanllym University College of Medicine, Gyeonggi-do, Republic of Korea

Purpose : A 57-year-old male patient was admitted to the hospital presenting with severe dyspnea. Chest computed tomography showed a huge heterogenous mass suggesting empyema with total compression of right lung parenchyma and shifting of mediastinum contra-laterally resulting in severe cardiopulmonary dysfunction. We performed empyemectomy and pulmonary decortication with interposition of latissimus dorsi muscle without right pneumonectomy. The patient discharged on the 21st post-operative day without any significant complications and showed outstanding performance with NYHA grade I~II status at 8 months after surgical intervention.

첨부파일 : empyema_figure.docx

책임저자: Yongjoon Ra

Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, Hanllym University College of Medicine, Gyeonggi-do, Republic of Korea

발표자: Bongsuk Park, E-mail : pbsthr1@naver.com