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(Chest. 2001;119:975-977.)
© 2001 American College of Chest Physicians

Late Mediastinal Shift After Repeated Aspiration of Postpneumonectomy Seroma*

Carey Cullinane, MD; Kevin L. Kovitz, MD, FCCP and Renee S. Hartz, MD

* From the Departments of Surgery (Drs. Cullinane and Hartz) and Medicine (Dr. Kovitz), Tulane University Medical School, New Orleans, LA.

Correspondence to: Renee S. Hartz, MD, Department of Surgery, Tulane University Medical School, 1430 Tulane Ave. SL22, New Orleans, LA 70112; e-mail: rshartzmd{at}aol.com

Development of a postoperative seroma is a frequent complication after muscle-sparing thoracotomy. We describe an unusual case of late mediastinal shift in a patient in whom our original plan to perform a limited muscle-sparing thoracotomy was abandoned. The procedure was converted to a standard posterolateral incision to perform a pneumonectomy for a large central carcinoid tumor with extrabronchial extension. Fluid that accumulated in her pneumonectomy space presumably shifted into the dissected tissues of her chest wall, and was then drained repeatedly by her local physician in the time interval between 2 weeks and 3 months after surgery.

Key Words: bronchial carcinoid • mediastinal shift • postpneumonectomy seroma






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