Management of lobar torsion following lung transplantation.
We report 4 cases of acute lobar torsion in patients who had undergone bilateral lung transplantation. Bronchoscopy showed complete obstruction in only 2 of them. Torsion was confirmed by computed tomography in coronal minimal and maximal intensity projections with reconstruction. At operation, 1 detorsion and 3 lobectomies were carried out. Early diagnosis and rapid surgical intervention can save the affected lobe.
Souilamas
Redha
R
Department of Thoracic Surgery, European Hospital Georges Pompidou, 20 rue Leblanc 75015, Paris, France. redha.souilamas@egp.aphp.fr
Couchon
Sophie
S
Hernigou
Anne
A
Guillemain
Romain
R
Boussaud
Véronique
V
Sonnett
Joshua
J
D000293:Adolescent; D000328:Adult; D001999:Bronchoscopy; D042241:Early Diagnosis; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D012086:Reoperation; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy; D016896:Treatment Outcome