Lobar exclusion after transpericardial herniation in a heart-lung transplantation.
Lobar herniation is a rare complication of heart-lung transplantation (HLT). We describe a case of right lower lobe herniation through the pericardial window into the left pleural space diagnosed 54 days after operation. Extensive adhesions precluded a lobectomy through a right thoracotomy approach, therefore the lobe was simply excluded and left in situ. The subsequent postoperative course, a CT-scan 2 years later and the 7 years survival time demonstrated that the lobe became fibrosed without any major sequelae.
Jougon
J
J
Thoracic Surgery Unit, Hopital du Haut-Léveque, Pessac, France.
Duffy
J
J
Delaisement
C
C
Velly
J F
JF
D001999:Bronchoscopy; D005500:Follow-Up Studies; D016041:Heart-Lung Transplantation / Q000009:adverse effects*; D006547:Hernia / Q000175:diagnosis / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010496:Pericardium; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D013902:Radiography, Thoracic; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed