Post lung volume reduction pulmonary oedema
It has been reported to occur in ~ 5% of right pneumonectomies, ~4% of left pneumonectomies, and 1% of all lobectomies 2.
It tends to precipitate in the early post-operative period. Two pathophysiological factors have been proposed 1.
- an increase in pulmonary capillary pressure associated with passage of a normal to high cardiac output in a reduced volume pulmonary vascular bed.
- injury to the alveolar capillary membrane
- 1. Mathru M, Blakeman B, Dries DJ et-al. Permeability pulmonary edema following lung resection. Chest. 1990;98 (5): 1216-8. Chest (citation) - Pubmed citation
- 2. Waller DA, Gebitekin C, Saunders NR et-al. Noncardiogenic pulmonary edema complicating lung resection. Ann. Thorac. Surg. 1993;55 (1): 140-3. - Pubmed citation