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European Journal of Cardio-Thoracic Surgery, Vol 12, 919-921, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Lobar exclusion after transpericardial herniation in a heart-lung transplantation

J Jougon, J Duffy, C Delaisement and JF Velly
Thoracic Surgery Unit, Hopital du Haut-Leveque, Pessac, France.

Lobar herniation is a rare complication of heart-lung transplantation (HLT). We describe a case of right lower lobe herniation through the pericardial window into the left pleural space diagnosed 54 days after operation. Extensive adhesions precluded a lobectomy through a right thoracotomy approach, therefore the lobe was simply excluded and left in situ. The subsequent postoperative course, a CT-scan 2 years later and the 7 years survival time demonstrated that the lobe became fibrosed without any major sequelae.




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Copyright © 1997 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.