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Case Reports
. 2022 Aug 3;35(3):ivac116.
doi: 10.1093/icvts/ivac116.

Right lung torsion diagnosed 6 months after a thoracoscopic right upper lobectomy

Jon Pedro Timane  1 , Henrik Jessen Hansen  1 , René Horsleben Petersen  1
Affiliations
Case Reports

Right lung torsion diagnosed 6 months after a thoracoscopic right upper lobectomy

Jon Pedro Timane et al. Interact Cardiovasc Thorac Surg. .

Abstract

This report presents the case of a woman successfully treated with thoracoscopic detorsion of the right lung after she was diagnosed with a 180-degree torsion, 6 months after a video-assisted thoracoscopic right upper lobectomy for a stage 1 adenocarcinoma.

Keywords: Lobectomy; Lung torsion; VATS.

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Figures

Figure 1:
Figure 1:
Bronchoscopy. (A) Carina and right main bronchus; (B) partial occlusion of proximal right main bronchus; (C) nearly full occlusion of the right lower lobe bronchus.
Figure 2:
Figure 2:
(A) CT scan 6 months postoperatively. The right bronchovascular tree is inverted, with occlusion of the RLL bronchus. (B) CT scan after detorsion. RML and RLL in place, without occlusion of RLL bronchus. CT: computed tomography; RLL: right lower lobe; RML: right middle lobe.
See this image and copyright information in PMC

References

    1. Dai J, Xie D, Wang H, He W, Zhou Y, Hernández-Arenas LA. et al. Predictors of survival in lung torsion: systematic review and pooled analysis. J Thorac Cardiovasc Surg 2016;152:737–745. e3. 10.1016/j.jtcvs.2016.03.077. - DOI - PubMed
    1. Khanbhai M, Dunning J, Yap KH, Rammohan KS.. Dissection of the pulmonary ligament during upper lobectomy: is it necessary?. Interact CardioVasc Thorac Surg 2013;17:403–6. 10.1093/icvts/ivt144. - DOI - PMC - PubMed
    1. Childs L, Ellis S, Francies O.. Pulmonary lobar torsion: a rare complication following pulmonary resection, but one not to miss. BJR Case Rep 2016;3:20160010. 10.1259/bjrcr.20160010. - DOI - PMC - PubMed

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