Abstract
Less than 1.3% of penetrating chest traumas require lung resection; however, those that do suffer from greater morbidity and mortality based on extent of resection.1 While lung-sparing resections are preferred, injuries involving major hilar or bronchial structures and severely devitalized lung tissue often necessitate a more anatomic resection such as a pneumonectomy.2 Posttraumatic pneumonectomy is considered a last resort due to high mortality rates, which are often quoted as >50%.3 Patients who survive an emergent pneumonectomy often suffer from greater rates of postoperative pulmonary edema, acute respiratory distress syndrome (ARDS), right heart failure, and empyema.
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