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Published on May 1, 2009, doi:10.1510/icvts.2008.201640

Interactive CardioVascular and Thoracic Surgery 2009;9:350.

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Cardiac general

The risk of fatal re-expansion pulmonary oedema in poor left ventricular reserve

Manish Chowdhary 1, Edward W.K. Peng 1*, Pradip K. Sarkar 1

1 Sheffield Teaching Hospital, UK

* To whom correspondence should be addressed. E-mail: edwkpeng{at}gmail.com.


  Abstract
Re-expansion pulmonary oedema (REPO) is an uncommon complication which may be encountered following drainage of pneumothorax, pleural effusion or haemopneumothorax. Treatment is usually supportive and some patients may require positive pressure ventilation. We provide a novel description of the mechanism of a fatal REPO in a patient with a small and non-compliant left ventricle (LV). We urge for an extreme caution when performing thoracocentesis in patients with poor LV reserve. Keywords: Pleural effusion; Pulmonary oedema; Hypertrophic cardiomyopathy; Thoracocentesis




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