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Ann Thorac Surg 2005;80:1521-1523
© 2005 The Society of Thoracic Surgeons

Case report

Of Buffaloes, Horseshoes, and Having No Connections

Alden M. Parsons, MD a , Frank C. Detterbeck, MD b , *

a Department of Surgery, University of North Carolina, Chapel Hill, North Carolina
b Division of Cardiothoracic Surgery, University of North Carolina, Chapel Hill, North Carolina

Accepted for publication April 12, 2004.

* Address reprint requests to Dr Detterbeck, Division of Cardiothoracic Surgery, University of North Carolina, CB 7065, Medical School Wing C, Room 354, Chapel Hill, NC27599-7065 (Email: fdetter{at}med.unc.edu).

We report a patient with multiple congenital pulmonary anomalies, including unilateral pulmonary artery agenesis with an atretic left lung, "buffalo chest," and a variant of the anatomic anomaly "horseshoe lung," discovered during double lung transplantation. Both hemithoraces were filled by the right lung. The right chest was occupied primarily by the anatomic right lower lobe, and the left chest by the right middle lobe at the apex and the anatomic right upper lobe at the base.




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