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Ann Thorac Surg 1995;59:1223-1226
© 1995 The Society of Thoracic Surgeons

Case Report

Right Lower Lobe Herniation After Domino Heart-Lung Transplantation

Nizar A. Yonan, FRCS, Jim Egan, MRCP, Abdul K. Deiraniya, FRCS, Ali N. Rahman, FRCS

Department of Cardiac Surgery and North West Lung Centre, Wythenshawe Hospital, Manchester, England

Accepted for publication September 12, 1994.

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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