Unilateral pulmonary edema after two-jaw surgery: A case report.
10.4097/kjae.2008.55.1.128
- Author:
Byung Gun LIM
1
;
Il Ok LEE
;
Hee Zoo KIM
;
Myoung Hoon KONG
;
Mi Kyoung LEE
;
Nan Sook KIM
;
Sang Ho LIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. iloklee@korea.ac.kr
- Publication Type:Case Report
- Keywords:
atelectasis;
negative-pressure;
pulmonary edema;
re-expansion;
two-jaw surgery;
unilateral
- MeSH:
Anesthesia, General;
Edema;
Humans;
Intubation;
Lung;
Male;
One-Lung Ventilation;
Pneumothorax;
Pulmonary Atelectasis;
Pulmonary Edema
- From:Korean Journal of Anesthesiology
2008;55(1):128-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulmonary edema is usually bilateral, but can be uncommonly unilateral. Although unilateral pulmonary edema (UPE) can occur owing to various etiologies, it usually occurs at a patient who has an underlying defect or abnormality in the cardiopulmonary system except a case of negative-pressure pulmonary edema. Especially UPE following general anesthesia is a rare complication in a healthy patient. Re-expansion pulmonary edema (REPE) as a cause of UPE mostly occurs when a chronically collapsed lung is rapidly re-expanded after pneumothorax. There are some reports associated with REPE following one-lung ventilation used to facilitate surgery, in which there is no chronically collapsed lung. There are, however, little reported cases of a more acute form of this complication following re-expansion after atelectasis due to only several minutes of an inadvertent main stem bronchial intubation during operation. A report of the occurrence of UPE in a healthy, young male undergoing two-jaw surgery is described.
