Severe Re-expansion Pulmonary Edema Induced by One-Lung Ventilation

Abstract

We present 2 cases of severe re-expansion pulmonary edema (RPE) after one-lung ventilation (OLV) for thoracic surgery. A 32-y-old woman with multiple lung metastases developed severe RPE after OLV during lung resection surgery. A 37-y-old man with infective endocarditis also developed severe RPE after OLV for mitral valve plasty with minimally invasive cardiac surgery. In both cases, results of a preoperative pulmonary function test and oxygenation were almost normal, and pleural effusion or pulmonary congestion was not detected in preoperative computed tomography; however, there was a possibility that subclinical lung injury existed before surgery. The levels of interleukin-8 and monocyte chemotactic protein-1, which are thought to play important roles in the development of lung injury, in bronchial secretions were extremely high after the onset of RPE. These results suggest that the pathogenesis of RPE shares, at least in part, a common pathophysiology of acute lung injury. Key words: pulmonary edema; one-lung ventilation; interleukin-8; monocyte chemotactic protein-1. [Respir Care 2015;60(8):e134 -e140.

Prevention of Unilateral Pulmonary Edema Complicating Robotic Mitral Valve Operations

“…(Ann Thorac Surg 2017;103:98-105) Ó 2017 by The Society of Thoracic Surgeons U nilateral pulmonary edema (UPE) has been reported as an uncommon but potentially lethal complication of mitral valve operations performed through a rightsided chest approach using either handheld or robotic instrumentation [1][2][3][4][5][6][7][8][9]. The clinical presentation of UPE has been similar in many reports, with severe right lung edema developing within the first several minutes to hours after weaning from a relatively prolonged period of cardiopulmonary bypass (CPB).…”

Acute noncardiogenic pulmonary edema after neostigmine administration during the recovery period of general anesthesia

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Mitral valve restenosis after closed mitral commissurotomy: case discussion

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