Lobar torsion after lung transplantation

被引：10

作者：

Lin, Mong-Wei ^{[1
,2
,3
]}

Huang, Shu-Chien ^{[2
,3
]}

Kuo, Shuenn-Wen ^{[2
,3
]}

Huang, Pei-Ming ^{[2
,3
]}

Hsu, Hsao-Hsun ^{[2
,3
]}

Lee, Yung-Chie ^{[2
,3
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Surg, Yun Lin Branch, Douliu City, Yunlin, Taiwan

[2] Natl Taiwan Univ Hosp, Dept Surg, Taipei 10002, Taiwan

[3] Natl Taiwan Univ, Coll Med, Taipei 10764, Taiwan

来源：

JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION | 2013年 / 112卷 / 02期

关键词：

extracorporeal membrane oxygenation; lung transplantation; torsion abnormality; EXTRACORPOREAL MEMBRANE-OXYGENATION;

D O I：

10.1016/j.jfma.2012.10.012

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 tower 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. Copyright (C) 2012, Elsevier Taiwan LLC & Formosan Medical Association. All rights reserved.

引用

页码：105 / 108

页数：4

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