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Reexpansion Pulmonary Edema: Myth or Reality?
Edema de reexpansión pulmonar ¿mito o realidad?
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Chest X-ray on admission (A) revealing a lung mass measuring 10<span class="elsevierStyleHsp" style=""></span>cm×5<span class="elsevierStyleHsp" style=""></span>cm causing atelectasis of the left upper lobe, along with apical fibrosis and calcified granulomas. Chest X-ray 14 days after admission (B) revealing bilateral diffuse micronodular interstitial infiltrate not present on the previous X-ray.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Borregón Rivilla, Katherin Martínez Barroso, Irene Ramos Reguera" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Miguel" "apellidos" => "Borregón Rivilla" ] 1 => array:2 [ "nombre" => "Katherin" "apellidos" => "Martínez Barroso" ] 2 => array:2 [ "nombre" => "Irene" "apellidos" => "Ramos Reguera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619306131" "doi" => "10.1016/j.arbres.2019.12.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619306131?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001695?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001695/v1_202107020656/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S1579212921001993" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.11.029" "estado" => "S300" "fechaPublicacion" => "2021-07-01" "aid" => "2357" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:491" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Polypoid Tracheal Fibroma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "491" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibroma traqueal polipoide" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 950 "Ancho" => 1750 "Tamanyo" => 183353 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Spirometry flow-volume loop (A) was not typical of an extrathoracic obstruction. CT-scan axial and sagittal images (B) show a pedicled lesion in middle third of the trachea. Images of flexible bronchoscopy (C) and rigid bronchoscopy (D) before and after argon-plasma therapy and mechanical debridement with <span class="elsevierStyleItalic">en bloc</span> removal of the lesion. Histological images of polypoid fibroma of the tracheal mucosa [hematoxylin and eosin staining] (E).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Diana Organista, Joana Barbosa, Aurora Lino" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Diana" "apellidos" => "Organista" ] 1 => array:2 [ "nombre" => "Joana" "apellidos" => "Barbosa" ] 2 => array:2 [ "nombre" => "Aurora" "apellidos" => "Lino" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001993?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001993/v1_202107020656/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Reexpansion Pulmonary Edema: Myth or Reality?" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "492" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Fernando Cózar Bernal, Luis Gerardo Zúñiga Sánchez, Irene Barrero García" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Fernando" "apellidos" => "Cózar Bernal" "email" => array:1 [ 0 => "fcozarbernal@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Luis Gerardo" "apellidos" => "Zúñiga Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Irene" "apellidos" => "Barrero García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario Virgen Macarena, Sevilla, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cuidados Intensivos, Hospital Universitario Virgen Macarena, Sevilla, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Edema de reexpansión pulmonar ¿mito o realidad?" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 995 "Ancho" => 1500 "Tamanyo" => 177705 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) CT showing complete pneumothorax and unilateral ground glass pattern. (C and D) Intraoperative findings: blebs.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 28-year-old man, who, after a 5-day history of pleuritic pain, was diagnosed with complete right pneumothorax on chest CT. After insertion of a 10F pleural drainage tube connected to −20<span class="elsevierStyleHsp" style=""></span>cm H<span class="elsevierStyleInf">2</span>O suction the patient developed irritative cough, central chest pain, hypotension, tachycardia, and desaturation. He was stabilized in the ICU, and a repeat CT scan was requested, showing ground glass opacities in the right lung, consistent with reexpansion pulmonary edema (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient did not improve and required invasive mechanical ventilation. Extubation was achieved after 48<span class="elsevierStyleHsp" style=""></span>h. Apical bullous lesions and multiple blebs were observed during surgery for bullectomy and mechanical pleurodesis by video-assisted thoracoscopy. The pleural drainage tube was removed and the patient was discharged 72<span class="elsevierStyleHsp" style=""></span>h after surgery, without complications.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Reexpansion pulmonary edema, first described in 1853 by Pinault, is a rare complication, usually less than 1%, that occurs after rapid reinflation of the lung following evacuation of a pneumothorax or pleural effusion. Mortality can be as high as 20%.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Diagnosis is clinical, supported by imaging tests. Treatment is based on supportive measures, requiring CPAP or even IMV with PEEP in the most severe cases, as occurred in our patient. Clinical suspicion is fundamental to guiding diligent action.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "⋆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Cózar Bernal F, Zúñiga Sánchez LG, Barrero García I. Edema de reexpansión pulmonar ¿mito o realidad? Arch Bronconeumol. 2021;57:492.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 995 "Ancho" => 1500 "Tamanyo" => 177705 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) CT showing complete pneumothorax and unilateral ground glass pattern. (C and D) Intraoperative findings: blebs.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reexpansion pulmonary edema after chest drainage for pneumothorax: a case report and literature overview" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Verhagen" 1 => "J. van Buijtenen" 2 => "J.R.L. Geeraedts" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rmcr.2014.10.002" "Revista" => array:6 [ "tituloSerie" => "Respir Med Case Rep" "fecha" => "2015" "volumen" => "14" "paginaInicial" => "10" "paginaFinal" => "12" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26029567" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is severe re-expansion pulmonary edema still a lethal complication of closed thoracostomy or thoracic surgery?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.K. Lee" 1 => "J.J. Hwang" 2 => "M.H. Lim" 3 => "J.H. Son" 4 => "D.H. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.21037/atm.2019.01.55" "Revista" => array:5 [ "tituloSerie" => "Ann Transl Med" "fecha" => "2019" "volumen" => "7" "paginaInicial" => "98" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31019948" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000007/v1_202107020656/S1579212921001683/v1_202107020656/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005700000007/v1_202107020656/S1579212921001683/v1_202107020656/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921001683?idApp=UINPBA00003Z" ]
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