Lobar torsion after lung transplantation
Lobar torsion is a rare complication after lung transplantation. Here we report a case of right middle lobe (RML) torsion after bilateral sequential lung transplantation (BLTx). This 30-year-old lady underwent BLTx for bronchiolitis obliterans due to paraneoplastic pemphigus. The right lower lobe of...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2013-02-01
|
| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664612005104 |
| _version_ | 1818542275097001984 |
|---|---|
| author | Mong-Wei Lin Shu-Chien Huang Shuenn-Wen Kuo Pei-Ming Huang Hsao-Hsun Hsu Yung-Chie Lee |
| author_facet | Mong-Wei Lin Shu-Chien Huang Shuenn-Wen Kuo Pei-Ming Huang Hsao-Hsun Hsu Yung-Chie Lee |
| author_sort | Mong-Wei Lin |
| collection | DOAJ |
| description | Lobar torsion is a rare complication after lung transplantation. Here we report a case of right middle lobe (RML) torsion after bilateral sequential lung transplantation (BLTx). This 30-year-old lady underwent BLTx for bronchiolitis obliterans due to paraneoplastic pemphigus. The right lower lobe of the donor lung was resected due to inflammatory change during procurement. The postoperative chest X-ray showed persisting RML infiltrates. Fever and leukocytosis were noted 1 week later. RML lobectomy was performed after the reconstructed chest computed tomography confirmed the diagnosis of RML torsion. Adult respiratory distress syndrome with unstable vital signs, refractory hypoxemia and respiratory acidosis occurred thereafter. After venoarterial extracorporeal membrane oxygenation support, the patient recovered slowly and was discharged 5 months after BLTx. |
| first_indexed | 2024-12-11T22:19:57Z |
| format | Article |
| id | doaj.art-a70756ae8dcc4a29992c84a43a32e10b |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-11T22:19:57Z |
| publishDate | 2013-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-a70756ae8dcc4a29992c84a43a32e10b2022-12-22T00:48:28ZengElsevierJournal of the Formosan Medical Association0929-66462013-02-01112210510810.1016/j.jfma.2012.10.012Lobar torsion after lung transplantationMong-Wei Lin0Shu-Chien Huang1Shuenn-Wen Kuo2Pei-Ming Huang3Hsao-Hsun Hsu4Yung-Chie Lee5Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Douliu City, Yunlin, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, TaiwanLobar torsion is a rare complication after lung transplantation. Here we report a case of right middle lobe (RML) torsion after bilateral sequential lung transplantation (BLTx). This 30-year-old lady underwent BLTx for bronchiolitis obliterans due to paraneoplastic pemphigus. The right lower lobe of the donor lung was resected due to inflammatory change during procurement. The postoperative chest X-ray showed persisting RML infiltrates. Fever and leukocytosis were noted 1 week later. RML lobectomy was performed after the reconstructed chest computed tomography confirmed the diagnosis of RML torsion. Adult respiratory distress syndrome with unstable vital signs, refractory hypoxemia and respiratory acidosis occurred thereafter. After venoarterial extracorporeal membrane oxygenation support, the patient recovered slowly and was discharged 5 months after BLTx.http://www.sciencedirect.com/science/article/pii/S0929664612005104extracorporeal membrane oxygenationlung transplantationtorsion abnormality |
| spellingShingle | Mong-Wei Lin Shu-Chien Huang Shuenn-Wen Kuo Pei-Ming Huang Hsao-Hsun Hsu Yung-Chie Lee Lobar torsion after lung transplantation Journal of the Formosan Medical Association extracorporeal membrane oxygenation lung transplantation torsion abnormality |
| title | Lobar torsion after lung transplantation |
| title_full | Lobar torsion after lung transplantation |
| title_fullStr | Lobar torsion after lung transplantation |
| title_full_unstemmed | Lobar torsion after lung transplantation |
| title_short | Lobar torsion after lung transplantation |
| title_sort | lobar torsion after lung transplantation |
| topic | extracorporeal membrane oxygenation lung transplantation torsion abnormality |
| url | http://www.sciencedirect.com/science/article/pii/S0929664612005104 |
| work_keys_str_mv | AT mongweilin lobartorsionafterlungtransplantation AT shuchienhuang lobartorsionafterlungtransplantation AT shuennwenkuo lobartorsionafterlungtransplantation AT peiminghuang lobartorsionafterlungtransplantation AT hsaohsunhsu lobartorsionafterlungtransplantation AT yungchielee lobartorsionafterlungtransplantation |