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Correspondence
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Volume 335:1074 October 3, 1996 Number 14
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"Keeling" Syndrome — A Late Complication of Pneumonectomy

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To the Editor: Late complications after pneumonectomy include excessive mediastinal displacement to the ipsilateral side with bronchovascular compromise, bronchopleural fistula with empyema, and decreased pulmonary reserve in the event of a respiratory infection.1,2 We recently learned of an unusual late complication of pneumonectomy that was reported to us by the patient, who then treated himself successfully.

A 58-year-old man underwent a right pneumonectomy in 1994 for squamous-cell carcinoma of the lung. His perioperative course was uncomplicated, and he soon resumed work. Fifteen months later, he asked about resuming his favorite sport, scuba diving, saying that his exercise endurance was good. . . . [Full Text of this Article]

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