Right lower lobe herniation after domino heart-lung transplantation.

Yonan, N A; Egan, J; Deiraniya, A K; Rahman, A N · Ann Thorac Surg · 1995

case_report · Level V

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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.

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