Postpneumonectomy syndrome occurs especially after right pneumonectomy and is rare We want to present for the first time in turkish literature one case of us who encountered this problem.

A 52-year-old man had undergone right pneumonectom yas he had epidermoid carcinoma of the lung originated from progressive cough, dyspnea and stridor. Postpneumonectomy syndrome was diagnosed with posteroanteiror grid chest roentgenograms, computed tomography of the thorax and fiberoptic bronchoscopic examination.

In tomography compression of left main bronchus between aorta and vertebra, and in bronchoscopy external obliteration of main bronchus were seen. After entubation and ventilation therapy, he was taken to the operation room in order to place a 1000 cc silicon breast prosthesis as a filler. Fiberoptic bronchoscopy evealed decompressed left main bronchus peroperatively. Extubated early, the patient died postoperative 17th day de severe pneumonia.

Postpneumonectomy syndrome shall be kept in mind especially in right pneumonectomy patients when progressive cough, dyspnea, and stridor is present.