title: Right lower lobe herniation after domino heart-lung transplantation.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Wythenshawe Hospital, Manchester, England.
authors.forename: N A
authors.initials: NA
authors.lastname: Yonan
authors.forename: J
authors.initials: J
authors.lastname: Egan
authors.forename: A K
authors.initials: AK
authors.lastname: Deiraniya
authors.forename: A N
authors.initials: AN
authors.lastname: Rahman
mesh_terms: 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