Document Detail


Reverse v-shape kinking of the left lower lobar bronchus after a left upper lobectomy and its surgical correction.
MedLine Citation:
PMID:  25346906     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
A 76-year-old male underwent a left upper lobectomy with wedge resection of the superior segment of the left lower lobe using video-assisted thoracoscopic surgery (VATS) for non-small-cell lung cancer of the left upper lobe. He presented with shortness of breath, fever, and leukocytosis. Chest radiography showed atelectasis at the remaining left lower lobe. Bronchoscopy revealed narrowing of the left lower bronchus with purulent secretion, and computed tomography showed downward kinking of the left lower lobar bronchus. He underwent exploratory VATS, and intraoperative findings showed an inferiorly kinked left lower lobar bronchus with upward displacement of the left lower lobe. After adhesiolysis, the kinked bronchus was straightened, and bronchopexy was performed to the pericardium to prevent the recurrence of bronchial kinking. Also, the inferior pulmonary ligament was reattached to prevent upward displacement. Postoperative follow-up bronchoscopy revealed no evidence of residual bronchial obstruction, and chest radiography showed no atelectasis thereafter.
Authors:
Min-Seok Kim; Yoohwa Hwang; Hye-Seon Kim; In Kyu Park; Chang Hyun Kang; Young Tae Kim
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Publication Detail:
Type:  Journal Article     Date:  2014-10-05
Journal Detail:
Title:  The Korean journal of thoracic and cardiovascular surgery     Volume:  47     ISSN:  2233-601X     ISO Abbreviation:  Korean J Thorac Cardiovasc Surg     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-27     Completed Date:  2014-10-27     Revised Date:  2014-10-30    
Medline Journal Info:
Nlm Unique ID:  101563922     Medline TA:  Korean J Thorac Cardiovasc Surg     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  483-6     Citation Subset:  -    
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