[Torsion after left lower lobectomy and cerebral infarction following the re-exploratory thoracotomy: a case report].
A 38-year-old man had a left lower lobectomy for pulmonary carcinoid. Following the operation, torsion of the left residual upper lobe occurred. Re-explosive thoracotomy was performed on the second postoperative day. The left upper lobe showed a clockwise 180-degree rotation. Pneumonectomy was not done. After the re-thoracotomy, the patient developed right hemiplegia. Head CT showed a cerebral infarction due to the thrombus of pulmonary vein that was released after the repair of the torsion.
Inoue
H
H
First Department of Surgery, Tokai University.
Inoue
H
H
Kanabuchi
K
K
Ogawa
J
J
Koide
S
S
Kawada
S
S
Shohtsu
A
A
D000328:Adult; D002276:Carcinoid Tumor / Q000150:complications / Q000601:surgery; D002544:Cerebral Infarction / Q000209:etiology*; D006801:Humans; D008171:Lung Diseases / Q000209:etiology* / Q000601:surgery; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery; D008297:Male; D011013:Pneumonectomy / Q000009:adverse effects*; D012086:Reoperation; D013908:Thoracotomy / Q000009:adverse effects*; D014102:Torsion Abnormality