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Lobar Torsion After Lung Transplantation—A Case Report and Review of the Literature
Author(s) -
Shakoor Hasan,
Murthy Sudish,
Mason David,
Johnston Douglas,
Shah Sonia S.,
Carrillo Maria C.,
Mehta Atul C.
Publication year - 2009
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/j.1525-1594.2009.00737.x
Subject(s) - medicine , lung , torsion (gastropod) , surgery , lung transplantation , complication , transplantation , pneumonectomy , pulmonary fibrosis , radiology
Lobar torsion is a rare complication following lung transplantation. Early detection and immediate therapeutic intervention can lead to a favorable outcome. We report an unusual case of left lingular torsion following single lung transplantation performed for idiopathic pulmonary fibrosis. The patient experienced severe ventilatory compromise immediately after leaving the operating room, and a chest X‐ray revealed a well‐demarcated area of consolidation involving the left mid‐ and lower lung zones. Lingular torsion was promptly diagnosed and corrected surgically. The possibility of acute lobar torsion should be considered in lung transplant recipients who experience acute respiratory compromise in the early postoperative period. Early diagnosis and correction can avoid pulmonary infarction and the need for lobar resection.