Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 25 , ISSUE 3 ( March, 2021 ) > List of Articles


Re-expansion Pulmonary Edema—A Rare Entity: A Thin Line between Pulmonary and Cardiac Decompensation

Rita Khanoria, Rajeev Chauhan, Rashi Sarna, Summit Bloria

Citation Information : Khanoria R, Chauhan R, Sarna R, Bloria S. Re-expansion Pulmonary Edema—A Rare Entity: A Thin Line between Pulmonary and Cardiac Decompensation. Indian J Crit Care Med 2021; 25 (3):343-345.

DOI: 10.5005/jp-journals-10071-23769

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Re-expansion pulmonary edema (RPE) is a rare complication that may occur after treatment of lung collapse caused by pneumothorax, atelectasis, or pleural effusion. The amount of fluid drained and the degree of pleural suction influence the development of RPE. We present a case of RPE in a critically ill patient of scrub typhus with rheumatic heart disease, after draining only 800 mL of pleural fluid, thereby proving that the complex cardiac and pulmonary interactions play an important role in the development of RPE.

  1. Mokotedi CM, Balik M. Is the mechanism of re-expansion pulmonary oedema in a heart–lung interaction? Case Rep 2017;2017. DOI: 10.1136/bcr-2017-219340.
  2. Stawicki SP, Sarani B, Braslow BM. Re-expansion pulmonary edema. Int J Acad Med 2017;3(3):59. DOI: 10.4103/IJAM.IJAM_98_16.
  3. Sohara Y. Reexpansion pulmonary edema. Ann Thorac Cardiovasc Surg 2008;14(4):205–209. PMID: 18818568.
  4. Genofre EH, Vargas FS, Teixeira LR, Vaz MA, Marchi E. Re-expansion pulmonary edema. J Pneumol 2003;29(2):101–106. DOI: 10.1590/S0102-35862003000200010.
  5. Kasmani R, Irani F, Okoli K, Mahajan V. Re-expansion pulmonary edema following thoracentesis. CMAJ 2010;182(18):2000–2002. DOI: 10.1503/cmaj.090672.
  6. Janmeja AK, Mohapatra PR, Saini MS, Khurana A. Re-expansion pulmonary edema—a case report. Lung India 2007;24(2):72. DOI: 10.4103/0970-2113.44217.
  7. Light RW. Thoracentesis and pleural biopsy. 4th ed. Baltimore: Williams & Wilkins; 2003. p. 358–377.
  8. Chowdhary M, Peng EW, Sarkar PK. The risk of fatal re-expansion pulmonary oedema in poor left ventricular reserve. Interact Cardiovasc Thorac Surg 2009;9(2):350–351. DOI: 10.1510/icvts.2008.201640.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.