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(Chest. 1975;68:736-739.)
© 1975 American College of Chest Physicians

Unilateral Pulmonary Edema with Contralateral Thoracic Sympathectomy in the Adult Respiratory Distress Syndrome

Michael R. Flick M.D.1; Garrick B. Kantzler M.D.1; and A. Jay Block M.D., F.C.C.P.1

1 From the Department of Medicine, University of Florida College of Medicine and the Veterans Administration Hospital, Gainesville

A case is presented of pathologically proved unilateral pulmonary edema due to uremia and blood transfusion. The lung that was spared had been denervated by a thoracic sympathectomy eight years earlier. That this denervation may have been responsible for the unilaterality of the pulmonary edema is suggested by experimental evidence supporting a neurogenic etiology of noncardiac pulmonary edema. The literature is briefly reviewed, and implications for therapy are discussed.






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Copyright © 1975 by the American College of Chest Physicians.