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The Annals of Thoracic Surgery, Vol 56, 190-195, Copyright © 1993 by The Society of Thoracic Surgeons
OM Shapira and DM Shahian
Pulmonary edema is an uncommon but serious complication associated with
major resection of the lung, usually after pneumonectomy. The
pathophysiology of this condition is not completely understood, but recent
experimental and clinical data suggest that this condition results from a
combination of increased filtration gradient across the pulmonary
microcirculation together with hyperpermeability. Overzealous perioperative
infusions of fluid have been implicated in clinical cases. We present the
reports of 2 patients with postpneumonectomy pulmonary edema we recently
encountered and a review of the literature to provide diagnostic and
therapeutic guidelines in dealing with this serious complication.
ARTICLES
Postpneumonectomy pulmonary edema
Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
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