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A synchronous right pneumonectomy and left lung transplantation is reported in a case of asymmetric thorax. An extreme shift of the mediastinum and over distension of the transplanted lung is shown 3 years later. Post pneumonectomy syndrome must be seeking in this alternative technique.

Synchronous left lung transplantation and right pneumonectomy for end-stage bronchiectasis through Clamshell approach. Specific problems