The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 6 , Pages 1439-1447 , June 2007

Idiopathic postpneumonectomy pulmonary edema: Hyperinflation of the remaining lung is a potential etiologic factor, but the condition can be averted by balanced pleural drainage

Read at the Eighty-sixth Annual Meeting of The American Association for Thoracic Surgery, Philadelphia, Pa, April 29-May 3, 2006.

  • John M. Alvarez, MBBS, FRACS

      Affiliations

    • Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, Australia
    • Corresponding Author InformationAddress for reprints: J. M. Alvarez, MBBS, FRACS, Clinical A/Professor Surgery, University of Western Australia, Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Verdun St, Nedlands, 6010, Perth, W. Australia, Australia.
    • ,
  • Jeremy Tan, MBBS

      Affiliations

    • Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, Australia
    • ,
  • Nand Kejriwal, MBBS

      Affiliations

    • Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, Australia
    • ,
  • Karim Ghanim, MBBS

      Affiliations

    • Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, Australia
    • ,
  • Mark A.J. Newman, FRACS, MBBS

      Affiliations

    • Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, Australia
    • ,
  • Amanda Segal, FRACP

      Affiliations

    • Department of Anatomical Pathology, Sir Charles Gairdner Hospital, Perth, Australia
    • ,
  • Greg Sterret, FRACP

      Affiliations

    • Department of Anatomical Pathology, Sir Charles Gairdner Hospital, Perth, Australia
    • ,
  • Max K. Bulsara, PhD

      Affiliations

    • School of Population Health, University of Western Australia, Perth, Australia.

Received 1 May 2006 ,Revised 4 December 2006 ,Accepted 12 December 2006.

  • Image Result

    Balanced drainage system. A, Draining intercostal tube; B, collecting chamber; C, positive pressure regulator; D, negative pressure regulator; E, air tube.

    Balanced drainage system. A, Draining intercostal tube; B, collecting chamber; C, positive pressure regulator; D, negative pressure regulator; E, air tube.

  • Image Result

    Postpneumonectomy pulmonary edema grade 3 (original magnification ×240). Widespread and severe pulmonary edema (pink proteinaceous fluid within alveolar air sacs). Generalized congestion of alveolar w

    Postpneumonectomy pulmonary edema grade 3 (original magnification ×240). Widespread and severe pulmonary edema (pink proteinaceous fluid within alveolar air sacs). Generalized congestion of alveolar walls and capillaries.

  • Image Result
    Postpneumonectomy pulmonary edema grade 2 (original magnification ×240). Widespread moderate pulmonary edema within alveolar air sacs. Generalized congestion of alveolar walls and capillaries.

    Postpneumonectomy pulmonary edema grade 2 (original magnification ×240). Widespread moderate pulmonary edema within alveolar air sacs. Generalized congestion of alveolar walls and capillaries.

  • Image Result
    Postpneumonectomy pulmonary edema grade 0, normal lung (original magnification ×130). No edema fluid present in alveolar air sacs. Normal alveolar walls, no capillary congestion evident.

    Postpneumonectomy pulmonary edema grade 0, normal lung (original magnification ×130). No edema fluid present in alveolar air sacs. Normal alveolar walls, no capillary congestion evident.

PII: S0022-5223(07)00295-4

doi: 10.1016/j.jtcvs.2006.12.061

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 6 , Pages 1439-1447 , June 2007

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