Fatal Pulmonary Edema and Pneumonitis After Reexpansion of Chronic Pneumothorax

Autor: Sautter, Richard D., Dreher, William H., MacIndoe, John H., Myers, William O., Magnin, George E.
Zdroj: Chest; October 1971, Vol. 60 Issue: 4 p399-401, 3p
Abstrakt: In some instances, the reexpansion of a chronic pneumothorax results in pulmonary edema and, in the case presented, resulted in a fatality. The exact mechanism is unknown; however, the condition seems to be associated with (1) the chronic collapse of an entire lung, (2) sudden re-expansion of the lung, and (3) edema involving the chronically collapsed lung. Hypoxia was the cause of the patient's death and is related to perfusion of a lung without gaseous exchange. This condition can be treated by allowing the pneumothorax to recur or reducing perfusion of the involved lung by means of a balloon catheter placed in the pulmonary artery.
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