Transplantation of a three-lobed donor left lung: A case report.

Autor:	Jacob S; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USA., Makey IA; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USA., El-Sayed Ahmed MM; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USA.; Department of Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Mallea JM; Division of Transplant Medicine, Mayo Clinic, Jacksonville, FL, USA., Erasmus DB; Division of Transplant Medicine, Mayo Clinic, Jacksonville, FL, USA., Belli EV; Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USA.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2019 Mar 01; Vol. 7, pp. 2050313X19834155. Date of Electronic Publication: 2019 Mar 01 (Print Publication: 2019).
DOI:	10.1177/2050313X19834155
Abstrakt:	A true left middle lobe (lingular lobe) is very rare, but accessory fissures can be unexpectedly found at transplant. Pre-transplant knowledge of accessory lobes and accessory fissures aids in preparation, transplantation, postoperative assessment, and long-term care planning; however, fissures and accessory lobes can be overlooked by radiologists during routine evaluation of images. Here, we describe the first left lung with three anatomical lobes that was successfully transplanted into a 63-year-old patient with idiopathic pulmonary fibrosis. This anatomical variation did not change our surgical plan or technique, but surgeons should be aware of this possibility, especially when planning postoperative care. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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