Lungenödem nach Lungenvolumenreduktion

Post lung volume reduction pulmonary edema is a type of non cardiogenic pulmonary edema that can occur following lung volume reduction or a lung resection such as lobectomy or pneumonectomy.

Epidemiology

It has been reported to occur in ~ 5% of right pneumonectomies,  ~4% of left pneumonectomies, and 1% of all lobectomies .

Pathology

It tends to precipitate in the early postoperative period. Two pathophysiological factors have been proposed :

  • 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

See also

Siehe auch: