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CASE STUDIES

Management of Lobar Torsion Following Lung Transplantation

Redha Souilamas, MD, Sophie Couchon, MD1, Anne Hernigou, MD1, Romain Guillemain, MD2, Véronique Boussaud, MD2, Joshua Sonnett, MD3

Department of Thoracic Surgery
1 Department of Radiology
2 Department of Cardiovascular Reanimation European Hospital Georges Pompidou Paris, France
3 Presbyterian Hospital Columbia University New York, NY, USA

Redha Souilamas, MD, Tel: +33 1 56092475, Fax: +33 1 56093380, Email: redha.souilamas{at}egp.aphp.fr, Department of Thoracic Surgery, European Hospital Georges Pompidou, 20 rue Leblanc 75015, Paris, France.

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.

Key Words: Lung Transplantation • Pneumonectomy • Postoperative Complications

Asian Cardiovasc Thorac Ann 2009; 17:196-198
© 2009 by SAGE Publications
DOI: 10.1177/0218492309103322




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