Postpneumonectomy Pulmonary Edema

  • John D. Urschel


The operative mortality of elective pulmonary resection has steadily declined over the past several decades. Patient selection, preoperative preparation, anesthesia, operative techniques, and postoperative care have all improved. Despite these advances in thoracic surgical care one particular form of pulmonary resection (pneumonectomy) continues to have a relatively high operative mortality. In many centers 5–10% of patients die postoperatively. For most other major thoracic surgical procedures operative mortality can be reduced to approximately 1 or 2% by centralizing patients in high-volume centers, which are staffed with experienced surgeons. Eliminating postoperative death after pneumonectomy, however, is more difficult. Postpneumonectomy acute lung injury (postpneumonectomy pulmonary edema, PPE) remains difficult to prevent and treat; it is a major unsolved problem in the field of pulmonary resection. This chapter will review the definition, clinical presentation, etiology, pathogenesis, prevention and treatment of postpneumonectomy pulmonary edema.


Acute Lung Injury Pulmonary Resection Mediastinal Lymph Node Dissection Lymphatic Obstruction Noncardiogenic Pulmonary Edema 
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Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • John D. Urschel

There are no affiliations available

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