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. 2022 Feb 24:13:275-279.
doi: 10.1016/j.xjtc.2022.02.016. eCollection 2022 Jun.

Posttraumatic pneumonectomy and management of severely contaminated pleural space

Kirsten A Freeman  1 , Mauricio Pipkin  1 , Tiago N Machuca  1 , Eric Jeng  1 , Olusola Oduntan  1 , Frederick A Moore  2 , Yong G Peng  3 , Joseph Philip  4 , Desiree Machado  4 , Thomas M Beaver  1
Affiliations

Posttraumatic pneumonectomy and management of severely contaminated pleural space

Kirsten A Freeman et al. JTCVS Tech. .
No abstract available

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Figures

None
Posttraumatic pneumonectomy is a highly morbid and lethal event.
Figure 1
Figure 1
A, Image at the scene of the car shown with the fence through the windshield. B, Graphical depiction of injury with the anterior red highlighted area on the skin depicting the right parasternal entry site and posterior red highlighted area depicting the right paraspinal exit site. The impalement was just lateral to the heart.
Figure 2
Figure 2
A, Traumatic impalement injury with right parasternal entry site and right paraspinal exit site. B, Surgical image status post right thoracotomy and right middle and lower lobectomy, before removal of the foreign body. C, Surgical image showing cross-table ventilation for complex tracheoplasty.
Figure 3
Figure 3
A, Postoperative image showing povidone–iodine-soaked gauze packing in right chest space with chest tube in place within the sponges and closed chest with staples. In addition, venovenous extracorporeal membrane oxygenation cannulas can be seen in the superior vena cava and inferior vena cava. The left lung is noted to have severe pulmonary contusions and volume overload after large volume resuscitation and postpneumonectomy. B, Follow-up chest radiograph image as an outpatient showing normalized left lung and right pneumonectomy site that is appropriately fluid-filled.
See this image and copyright information in PMC

References

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