Management of Lobar Torsion Following Lung Transplantation

We report 4 cases of acute lobar torsion in patients who had undergone bilateral lung transplantation. Bronchoscopy showed complete obstruction in only 2 of them. Torsion was confirmed by computed tomography in coronal minimal and maximal intensity projections with reconstruction. At operation, 1 de...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2009-04, Vol.17 (2), p.196-198
Main Authors: Souilamas, Redha, Couchon, Sophie, Hernigou, Anne, Guillemain, Romain, Boussaud, Veronique, Sonnett, Joshua
Format: Article
Language:English
Subjects:
Adolescent
Adult
Bronchoscopy
Early Diagnosis
Hemorrhage - etiology
Hemorrhage - surgery
Humans
Lung Diseases - diagnosis
Lung Diseases - etiology
Lung Diseases - surgery
Lung Transplantation - adverse effects
Male
Reoperation
Thoracotomy
Tomography, X-Ray Computed
Torsion Abnormality - diagnosis
Torsion Abnormality - etiology
Torsion Abnormality - surgery
Tracheostomy
Treatment Outcome
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Summary:We report 4 cases of acute lobar torsion in patients who had undergone bilateral lung transplantation. Bronchoscopy showed complete obstruction in only 2 of them. Torsion was confirmed by computed tomography in coronal minimal and maximal intensity projections with reconstruction. At operation, 1 detorsion and 3 lobectomies were carried out. Early diagnosis and rapid surgical intervention can save the affected lobe.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492309103322