Evaluation of the post-pneumonectomy space by computed tomography

Pietro Raimondo Biondetti, Davide Fiore, Francesco Sartor, Alberto Colognato, Ruggero Ravasini, Sergio Romani

Research output: Contribution to journalArticlepeer-review

Abstract

Twenty-two patients who had undergone pneumonectomy for various reasons were evaluated by computed tomography (CT) in order to study the post-pneumonectomy space (PPS). In 13 of 22 cases, the residual PPS contained fluid, even years following surgery. In 9 of 22 cases, the PPS was obliterated. Obliteration of the PPS, one of the events that may follow pneumonectomy, is significantly correlated with the expansion of the nonoperated lung (coefficient, 0.84). Obliteration of the PPS does not present a significant coefficient of correlation with the following parameters, also considered in this study: Time interval between surgery and CT, presurgical tests of respiratory function, hemidiaphragm elevation, and retraction of operated hemithorax. The fluid contained in the PPS does not organize but persists or is reabsorbed. Mediastinal shift depends on the expansion of the residual lung. The mediastinum rotates following right pneumonectomy and shifts following left pneumonectomy. The usefulness of CT in the follow-up of the pneumonectomized patient is stressed.

Original languageEnglish
Pages (from-to)238-242
Number of pages5
JournalJournal of Computer Assisted Tomography
Volume6
Issue number2
Publication statusPublished - 1982

Keywords

  • Computed tomography
  • Pneumonectomy
  • Pulmonary hernia
  • Thorax

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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