HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Carolyn E. Reed Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Reed, C. E. Search for Related Content PubMed PubMed Citation Articles by Reed, C. E.

Ann Thorac Surg 1995;59:408-411
© 1995 The Society of Thoracic Surgeons

Pneumonectomy for Chronic Infection: Fraught With Danger?

Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina

Accepted for publication September 28, 1994.

Pneumonectomy for chronic lung infections has been avoided because of potential intraoperative and postoperative complications. A retrospective review of 13 cases requiring pneumonectomy for aspergillus (8), Mycobacterium tuberculosis (2), actinomycosis, Pseudomonas aeruginosa, and bronchiectasis revealed increased operating time, blood loss, and transfusion requirements. Operative records documented problems with dense adhesions, lack of an extrapleural plane, and distortion of hilar structures. Although mortality was acceptable (8%), early and late morbidity (total, 38%), especially bronchopleural fistula (23%), was significant. It is concluded that when justified, pneumonectomy for complete resection of chronic infection can be performed with acceptable risk. However, specific problems should be anticipated. This review has led to modifications in operative technique.

This article has been cited by other articles:

				C.-A. Kerti, I. Miron, G. V. Cozma, O. N. Burlacu, C. P. Tunea, V. T. Voiculescu, E. F. Memu, and A. C. Nicodin The role of surgery in the management of pleuropulmonary tuberculosis - seven years' experience at a single institution Interactive CardioVascular and Thoracic Surgery, March 1, 2009; 8(3): 334 - 337. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, N. Katsuragi, Y. Nakajima, M. Hashizume, N. Takahashi, and Y. Miyasaka Pneumonectomy for complex aspergilloma: is it still dangerous? Eur. J. Cardiothorac. Surg., January 1, 2006; 29(1): 9 - 13. [Abstract] [Full Text] [PDF]

				H. Tanaka, A. Matsumura, M. Okumura, and K. Iuchi Pneumonectomy for unilateral destroyed lung with pulmonary hypertension due to systemic blood flow through broncho-pulmonary shunts Eur. J. Cardiothorac. Surg., September 1, 2005; 28(3): 389 - 393. [Abstract] [Full Text] [PDF]

				J. T. Sherwood, J. D. Mitchell, and M. Pomerantz Completion pneumonectomy for chronic mycobacterial disease J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1258 - 1265. [Abstract] [Full Text] [PDF]

				D. L. Miller, C. Deschamps, G. D. Jenkins, A. Bernard, M. S. Allen, and P. C. Pairolero Completion pneumonectomy: factors affecting operative mortality and cardiopulmonary morbidity Ann. Thorac. Surg., September 1, 2002; 74(3): 876 - 884. [Abstract] [Full Text] [PDF]

				D. Schneiter, P. Kestenholz, A. Dutly, S. Korom, U. Giger, D. Lardinois, and W. Weder Prevention of recurrent empyema after pneumonectomy for chronic infection Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 644 - 648. [Abstract] [Full Text] [PDF]

				J. Furak, I. Trojan, T. Szoke, L. Tiszlavicz, Z. Morvay, E. Csada, and A. Balogh Surgical intervention for pulmonary tuberculosis: analysis of indications and perioperative data relating to diagnostic and therapeutic resections Eur. J. Cardiothorac. Surg., October 1, 2001; 20(4): 722 - 727. [Abstract] [Full Text] [PDF]

				C. Deschamps, A. Bernard, F. C. Nichols III, M. S. Allen, D. L. Miller, V. F. Trastek, G. D. Jenkins, and P. C. Pairolero Empyema and bronchopleural fistula after pneumonectomy: factors affecting incidence Ann. Thorac. Surg., July 1, 2001; 72(1): 243 - 248. [Abstract] [Full Text] [PDF]

				D. F. Blyth Pneumonectomy for inflammatory lung disease Eur. J. Cardiothorac. Surg., October 1, 2000; 18(4): 429 - 434. [Abstract] [Full Text] [PDF]

				Y. Shiraishi, Y. Nakajima, A. Koyama, K. Takasuna, N. Katsuragi, and S. Yoshida Morbidity and mortality after 94 extrapleural pneumonectomies for empyema Ann. Thorac. Surg., October 1, 2000; 70(4): 1202 - 1206. [Abstract] [Full Text] [PDF]

				J. F. Regnard, P. Icard, P. Magdeleinat, B. Jauffret, E. Fares, and P. Levasseur COMPLETION PNEUMONECTOMY: EXPERIENCE IN EIGHTY PATIENTS J. Thorac. Cardiovasc. Surg., June 1, 1999; 117(6): 1095 - 1101. [Abstract] [Full Text] [PDF]

				M. De Groot, J. O. Fulton, C. E. Reed, G. Massard, and J.-M. Wihlm Pneumonectomy for Inflammatory Lung Disease Ann. Thorac. Surg., June 1, 1997; 63(6): 1825 - 1826. [Full Text]

				M. De Groot and W. Douie Postpneumonectomy Stump Fistula in a Ventilated Patient Ann. Thorac. Surg., February 1, 1997; 63(2): 552 - 554. [Abstract] [Full Text]

				G. Massard, A. Dabbagh, J.-M. Wihlm, R. Kessler, P. Barsotti, N. Roeslin, and G. Morand Pneumonectomy for Chronic Infection Is a High-Risk Procedure Ann. Thorac. Surg., October 1, 1996; 62(4): 1033 - 1037. [Abstract] [Full Text]

				D. D. Munro, J. A. S. Wilson, and C. E. Reed Pneumonectomy for Chronic Infection: Fraught With Danger? Ann. Thorac. Surg., January 1, 1996; 61(1): 280 - 280. [Full Text]

				A. A. Conlan, S. C. Fell, and C. E. Reed Pneumonectomy for Infection Ann. Thorac. Surg., August 1, 1995; 60(2): 488 - 490. [Full Text]