@article{3106205, title = "Loss of buoyancy control following a pneumonectomy: An update on Keeling syndrome with a biomechanics-based explanation", author = "Tsagkari, E. and Kapetanakis, E.I. and Goutis, G. and Tomos, P.", journal = "Interactive Cardiovascular and Thoracic Surgery", year = "2019", volume = "28", number = "3", pages = "407-409", publisher = "Oxford University Press", issn = "1569-9293", doi = "10.1093/icvts/ivy257", keywords = "adult; aged; Article; biomechanics; body equilibrium; cancer grading; cancer staging; case report; clinical article; disease severity; female; follow up; human; keeling syndrome; lung adenocarcinoma; lung resection; male; middle aged; postoperative complication; prevalence; priority journal; pulmonary rehabilitation; quality of life; swimming; biomechanics; diagnostic imaging; lung resection; lung tumor; pathophysiology; physiology; postoperative complication; syndrome; thorax; thorax radiography, Biomechanical Phenomena; Female; Humans; Lung Neoplasms; Middle Aged; Pneumonectomy; Postoperative Complications; Radiography, Thoracic; Swimming; Syndrome; Thorax", abstract = "Pneumonectomy although nowadays less prevalent, still remains a viable, practiced lung resection for the treatment of lung cancer and other lung pathologies. However, as radical surgery, it is associated with a number of postoperative complications and possible sequela. One such unusual complication discovered is the loss of buoyancy control and the ability to float and swim when compared preoperatively. We report on 2 post-pneumonectomy patients who experienced significant instability and loss of buoyancy when they attempted to resume recreational swimming and offer a possible biomechanics-based explanation for this. © 2018 The Author(s)." }