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Ann Thorac Surg 2005;80:1933-1934
© 2005 The Society of Thoracic Surgeons

Case report

New Treatment Method for Reexpansion Pulmonary Edema: Differential Lung Ventilation

Sang Rock Cho, MD a , * , Jeong Sang Lee, MD a , Mun Soo Kim, MD b

a Department of Thoracic and Cardiovascular Surgery, Seoul City Boramae Hospital, Seoul
b Center for Lung Cancer, National Cancer Center, Goyang Si, South Korea

Accepted for publication June 4, 2004.

* Address correspondence to Dr Cho, Utah Center for Advanced Imaging Research, University of Utah, 729 Arapeen Dr, Salt Lake City, UT 84108 (Email: csr0404{at}ucair.med.utah.edu).

Reexpansion pulmonary edema (REPE) is an iatrogenic complication that develops in a lung rapidly reinflated after varied periods of collapse. Though infrequent, it is often lethal. Measures to prevent REPE are well known and mild cases may be reversed with conventional ventilator therapy and medication; however, there is no definitive treatment for this condition in its severest forms. Asynchronous differential lung ventilation is a relatively new therapeutic modality for preoperative, intraoperative, or postoperative treatment of respiratory failure secondary to ventilation-perfusion mismatch. Successful treatment of severe REPE in a 29-year-old male patient is described, using asynchronous differential lung ventilation.




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[Abstract] [Full Text] [PDF]


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