Postpneumonectomy pulmonary edema

Last revised by Daniel J Bell on 17 Jan 2020

Citation, DOI, disclosures and article data

Citation:

Weerakkody Y, Bell D, Postpneumonectomy pulmonary edema. Reference article, Radiopaedia.org (Accessed on 20 Apr 2024) https://doi.org/10.53347/rID-17746

DOI:

https://doi.org/10.53347/rID-17746

Permalink:

https://radiopaedia.org/articles/17746

rID:

17746

Article created:

10 May 2012, Yuranga Weerakkody ◉

Disclosures:

At the time the article was created Yuranga Weerakkody had no recorded disclosures.

View Yuranga Weerakkody's current disclosures

Last revised:

17 Jan 2020, Daniel J Bell ◉

Disclosures:

At the time the article was last revised Daniel J Bell had no recorded disclosures.

View Daniel J Bell's current disclosures

Revisions:

1 time, by 1 contributor - see full revision history and disclosures

Systems:

Chest

Tags:

stub, cases

Synonyms:

Pulmonary oedema post pneumonectomy
Postpneumonectomy pulmonary edema (PPE)
Postpneumonectomy pulmonary oedema (PPO)
Post pneumonectomy pulmonary edema
Post pneumonectomy pulmonary oedema
Pulmonary oedema postpneumonectomy

Postpneumonectomy pulmonary edema (PPE/PPO) is a subtype of non-cardiogenic pulmonary edema. As the name suggests it occurs after a pneumonectomy. It carries a high mortality rate.

Epidemiology

Associations

Postpneumonectomy pulmonary edema is thought to be associated more with

right sided pneumonectomy ²
repeat thoracotomy ²
more positive fluid balance ²
high intraoperative and postoperative urine outputs ³

Pathology

This occurs when the remaining lung shows increased extravascular fluid in the lung and pleura, resulting in respiratory distress and impaired gas exchange.