Right lower lobe herniation after domino heart-lung transplantation.
We report 2 cases of trapping and incarceration of the right lower lobe in the left hemithorax after heart-lung transplantation with bicaval anastamoses (domino donors). This occurred despite confirmation of the normal anatomy at the time of implantation, before lung inflation. In 1 case this complication resulted in a right lower lobectomy 7 days after transplantation due to infarction and infection of the right lower lobe. These cases illustrate the importance of reexamining the anatomy after lung inflation, before chest closure.
Yonan
N A
NA
Department of Cardiac Surgery, Wythenshawe Hospital, Manchester, England.
Egan
J
J
Deiraniya
A K
AK
Rahman
A N
AN
D000328:Adult; D005260:Female; D016041:Heart-Lung Transplantation / Q000009:adverse effects*; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008722:Methods; D011859:Radiography