Re-Expansion Pulmonary Edema After Video-Assisted Thoracic Pleural Biopsy

Proposal Number:

MCC-7137 

Proposal Type:

Medically Challenging Case Report Poster 

Author:

John Foote  
Mount Sinai Hospital

Abstract:

A 74 year old male with a history of recurrent right pleural effusions was admitted for dyspnea. CT of the chest confirmed right sided pleural effusion and plan was made for video-assisted thoracic surgery drainage and pleural biopsy. During one-lung ventilation, 4L of serosanguinous fluid was evacuated and chest tube was placed. Patient was extubated after exceeding extubation criteria. Patient became hypoxic, unresponsive, and hypotensive. CPR initiated and reintubated with ROSC achieved in 3 minutes. Frothy fluid poured from the endotracheal tube patient and was treated for re-expansion pulmonary edema. Chest x-ray showed unilateral opacification consistent with pulmonary edema. We discuss the differential and treatment for re-expansion pulmonary edema.

Professional Category:

Resident/Trainee

Keywords:

Cardiothoracic
General

Supporting Image: ScreenShot2019-08-03at40527PM.png
 

Enter up to two references.

  Reference
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2. Meira Dias O, Ribeiro Teixeira L, Vargas FS. Reexpansion pulmonary edema after therapeutic thoracentesis. Clinics. 2010;65(12):1387-1389. doi:10.1590/S1807-59322010001200026