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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
- Intrapleural (classic) pneumonectomy: Lung and visceral pleural resection
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
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References
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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
- Intrapleural (classic) pneumonectomy: Lung and visceral pleural resection
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
