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Ann Thorac Surg 2001;71:364-366
© 2001 The Society of Thoracic Surgeons

Case report

Nitric oxide usage after posttraumatic pneumonectomy

Feza Nurozler, MDa, Michael Argenziano, MDa, Mark E. Ginsburg, MDa

a Department of Surgery, College of Physicians and Surgeons of Columbia University, New York, New York, USA

Accepted for publication May 17, 2000.

Address reprint requests to Dr Argenziano, c/o Dr Ginsburg, Division of Cardiothoracic Surgery, 161 Fort Washington Ave, Atchley Pavilion, Rm 310, New York, NY 10032
e-mail: ma66{at}columbia.edu

Pneumonectomy is rarely required in the surgical management of thoracic traumatic injuries with high mortality rates. Right heart failure due to elevated pulmonary artery pressure and the adult respiratory distress syndrome have been leading causes of mortality reported after posttraumatic pneumonectomy. The beneficial effect of inhaled nitric oxide has been shown in pulmonary hypertension and in adult respiratory distress syndrome. We report the use of inhaled nitric oxide in the perioperative management of a patient undergoing emergent pneumonectomy.




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