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Korean Journal of Anesthesiology 2008;55(1):128-134.
DOI: https://doi.org/10.4097/kjae.2008.55.1.128   
Unilateral pulmonary edema after two-jaw surgery: A case report.
Byung Gun Lim, Il Ok Lee, Hee Zoo Kim, Myoung Hoon Kong, Mi Kyoung Lee, Nan Sook Kim, Sang Ho Lim
Department of Anesthesiology and Pain Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. iloklee@korea.ac.kr
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.
Key Words: atelectasis; negative-pressure; pulmonary edema; re-expansion; two-jaw surgery; unilateral


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