GENERALLY SPEAKING, major pulmonary resectional surgery is contraindicated in patients with severe restrictive pulmonary insufficiency. Nonetheless, such surgery may be necessary when a patient has a collapsed and infected lung in addition to the restriction. In this situation hypoxemia may occur because of continued perfusion of the nonventilated lung. Furthermore, a patient with this condition is continually threatened by either infection of the uninvolved lung or metastatic infection.
This case is presented to demonstrate that pneumonectomy was successfully performed in a patient with severe respiratory paralysis secondary to poliomyelitis.
Report of a Case
A 22-year-old white male had the onset of bulbospinal poliomyelitis in July, 1957, while stationed in Korea with the armed forces. He was placed in a tank respirator on the fifth day of illness and on the next day a tracheostomy was performed. Chest pain and low-grade fever occurred during the fifth week of illness, at which
Borchers J, Oliver TK, Johnson EW. Pneumonectomy in a Patient with Severe Respiratory Paralysis Due to Poliomyelitis. JAMA. 1962;182(1):74–76. doi:10.1001/jama.1962.03050400076017a
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