Re-expansion pulmonary edema after excision of an intrathoracic tumor

We report an acute respiratory insufficiency following the removal of a large intrathoracic fibroma (3.1 kg) in a 6 year-old child, caused by a re-expansion pulmonary oedema (unilateral oedema occurring within one hour after expansion). This oedema improved rapidly and was followed by a well-tolerat...

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Published inAnnales françaises d'anesthésie et de réanimation Vol. 16; no. 4; p. 370
Main Authors Angel, G, Andreu, J M, Aulagnier, V, Diatta, B, Seck, M, Seignot, P
Format Journal Article
LanguageFrench
Published France 1997
Subjects
Brachial Plexus - injuries
Child
Fibroma - surgery
Humans
Lung - physiopathology
Male
Pleural Effusion - etiology
Postoperative Complications - etiology
Pressure
Pulmonary Edema - etiology
Suction
Thoracic Neoplasms - surgery
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Summary:We report an acute respiratory insufficiency following the removal of a large intrathoracic fibroma (3.1 kg) in a 6 year-old child, caused by a re-expansion pulmonary oedema (unilateral oedema occurring within one hour after expansion). This oedema improved rapidly and was followed by a well-tolerated pleural effusion. This complication is due to discrepancy between a small lung and a large thoracic cavity, due to the prolonged time course of the tumor growth. These oedemas are caused by rapid lung re-expansion, the volume of the removed tumor and the depth of postoperative pleural suction. The value of positive-end expiratory pressure is discussed.
ISSN:0750-7658