Intrapleural (classic) pneumonectomy: Lung and visceral pleural resection
Treatment of lung cancer, tuberculosis, bronchiectasis
EPP: En bloc resection of lung, visceral and parietal pleura, hemidiaphragm, and pericardium
Used in young patients with curative intent for select malignancies: Malignant pleural mesothelioma, locally advanced lung cancer, high-risk (invasive) thymoma
Intrapericardial pneumonectomy: IPP with resection of pericardial invasive disease or intrapericardial portions of pulmonary vasculature
Sleeve pneumonectomy: Central tumor resection; contralateral mainstem bronchus anastomosed to trachea
IMAGING
General Features
Radiographic Findings
CT Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
Selected References
Lo EYW et al: Balanced chest drainage prevents post-pneumonectomy pulmonary oedema. Heart Lung Circ. 29(12):1887-92, 2020
Duranti L et al: Extra-pleural pneumonectomy. J Thorac Dis. 11(3):1022-30, 2019
Bommart S et al: Imaging of postoperative complications following surgery for lung cancer. Diagn Interv Imaging. 98(1):11-20, 2017
Bommart S et al: Normal postoperative appearances of lung cancer. Diagn Interv Imaging. 97(10):1025-35, 2016
Alpert JB et al: Imaging the post-thoracotomy patient: anatomic changes and postoperative complications. Radiol Clin North Am. 52(1):85-103, 2014
Weder W et al: Carinal resection and sleeve pneumonectomy. Thorac Surg Clin. 24(1):77-83, 2014
Wolf AS et al: Extrapleural pneumonectomy for pleural malignancies. Thorac Surg Clin. 24(4):471-5, 2014
Pool KL et al: Radiographic imaging features of thoracic complications after pneumonectomy in oncologic patients. Eur J Radiol. 81(1):165-72, 2012
Kim DJ et al: Long-term survival following pneumonectomy for non-small cell lung cancer: clinical implications for follow-up care. Chest. 132(1):178-84, 2007
Mehanna MJ et al: Cardiac herniation after right pneumonectomy: case report and review of the literature. J Thorac Imaging. 22(3):280-2, 2007
Chae EJ et al: Radiographic and CT findings of thoracic complications after pneumonectomy. Radiographics. 26(5):1449-68, 2006
Kim SY et al: Filling defect in a pulmonary arterial stump on CT after pneumonectomy: radiologic and clinical significance. AJR Am J Roentgenol. 185(4):985-8, 2005
Kwek BH et al: Postpneumonectomy pulmonary artery stump thrombosis: CT features and imaging follow-up. Radiology. 2005
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Intrapleural pneumonectomy (IPP)
Extrapleural pneumonectomy (EPP)
Bronchopleural fistula (BPF)
Synonyms
Intrapleural (classic) pneumonectomy
Definitions
Intrapleural (classic) pneumonectomy: Lung and visceral pleural resection
Treatment of lung cancer, tuberculosis, bronchiectasis
EPP: En bloc resection of lung, visceral and parietal pleura, hemidiaphragm, and pericardium
Used in young patients with curative intent for select malignancies: Malignant pleural mesothelioma, locally advanced lung cancer, high-risk (invasive) thymoma
Intrapericardial pneumonectomy: IPP with resection of pericardial invasive disease or intrapericardial portions of pulmonary vasculature
Sleeve pneumonectomy: Central tumor resection; contralateral mainstem bronchus anastomosed to trachea
IMAGING
General Features
Radiographic Findings
CT Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
Selected References
Lo EYW et al: Balanced chest drainage prevents post-pneumonectomy pulmonary oedema. Heart Lung Circ. 29(12):1887-92, 2020
Duranti L et al: Extra-pleural pneumonectomy. J Thorac Dis. 11(3):1022-30, 2019
Bommart S et al: Imaging of postoperative complications following surgery for lung cancer. Diagn Interv Imaging. 98(1):11-20, 2017
Bommart S et al: Normal postoperative appearances of lung cancer. Diagn Interv Imaging. 97(10):1025-35, 2016
Alpert JB et al: Imaging the post-thoracotomy patient: anatomic changes and postoperative complications. Radiol Clin North Am. 52(1):85-103, 2014
Weder W et al: Carinal resection and sleeve pneumonectomy. Thorac Surg Clin. 24(1):77-83, 2014
Wolf AS et al: Extrapleural pneumonectomy for pleural malignancies. Thorac Surg Clin. 24(4):471-5, 2014
Pool KL et al: Radiographic imaging features of thoracic complications after pneumonectomy in oncologic patients. Eur J Radiol. 81(1):165-72, 2012
Kim DJ et al: Long-term survival following pneumonectomy for non-small cell lung cancer: clinical implications for follow-up care. Chest. 132(1):178-84, 2007
Mehanna MJ et al: Cardiac herniation after right pneumonectomy: case report and review of the literature. J Thorac Imaging. 22(3):280-2, 2007
Chae EJ et al: Radiographic and CT findings of thoracic complications after pneumonectomy. Radiographics. 26(5):1449-68, 2006
Kim SY et al: Filling defect in a pulmonary arterial stump on CT after pneumonectomy: radiologic and clinical significance. AJR Am J Roentgenol. 185(4):985-8, 2005
Kwek BH et al: Postpneumonectomy pulmonary artery stump thrombosis: CT features and imaging follow-up. Radiology. 2005
STATdx includes over 200,000 searchable images, including x-ray, CT, MR, and ultrasound images. To access all images, please log in or subscribe.