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Postpneumonectomy Pulmonary Edema : Can It Be Predicted Preoperatively?

William E. Caras
Author and Funding Information

From the Pulmonary Disease/Critical Care Service, Fitzsimons Army Medical Center, Aurora, CO.

William E. Caras, MD, FCCP, 2618 Thornhill Rd, Puyallup, WA 98374


1998 by the American College of Chest Physicians


Chest. 1998;114(3):928-931. doi:10.1378/chest.114.3.928
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Published online

Abstract

Postpneumonectomy pulmonary edema (PPE) is a rarely reported form of acute lung injury which occurs in up to 4% of all pneumonectomies. The details of two well-documented cases of PPE are described with special emphasis paid to the preoperative lung functions. Both cases illustrated a striking disparity between preserved spirometric lung function and advanced emphysema as detected by quantitative CT emphysema scores and single-breath diffusion of carbon monoxide measurements. Though retrospective in nature, these results suggest a restricted capillary volume plays a critical role in the development of PPE.


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