Right lower lobectomy for pulmonary infarction before orthotopic heart transplantation.
A 39-year-old potential heart transplant recipient had a right lower lobe infiltrate and on pulmonary angiography was found to have an embolous to the common basilar artery. This was successfully managed by a right lower lobectomy, after aggressive medical management failed. The patient was treated postoperatively with antibiotics and subsequently underwent orthotopic heart transplantation. At 1 year after transplant the patient has no evidence of cardiac or pulmonary insufficiency.
Loria
K M
KM
Division of Cardiology, Evanston Hospital, Northwestern University Medical School, IL 60201.
Salinger
M H
MH
Frohlich
T G
TG
Arentzen
C E
CE
Alexander
J C
JC
Anderson
R W
RW
D000328:Adult; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography