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Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction

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 radio...

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Autores principales: Kim, Min-Seok, Hwang, Yoohwa, Kim, Hye-seon, Park, In Kyu, Kang, Chang Hyun, Kim, Young Tae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207108/
https://www.ncbi.nlm.nih.gov/pubmed/25346906
http://dx.doi.org/10.5090/kjtcs.2014.47.5.483
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author Kim, Min-Seok
Hwang, Yoohwa
Kim, Hye-seon
Park, In Kyu
Kang, Chang Hyun
Kim, Young Tae
author_facet Kim, Min-Seok
Hwang, Yoohwa
Kim, Hye-seon
Park, In Kyu
Kang, Chang Hyun
Kim, Young Tae
author_sort Kim, Min-Seok
collection PubMed
description 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.
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spelling pubmed-42071082014-10-24 Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction Kim, Min-Seok Hwang, Yoohwa Kim, Hye-seon Park, In Kyu Kang, Chang Hyun Kim, Young Tae Korean J Thorac Cardiovasc Surg Case Report 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. The Korean Society for Thoracic and Cardiovascular Surgery 2014-10 2014-10-05 /pmc/articles/PMC4207108/ /pubmed/25346906 http://dx.doi.org/10.5090/kjtcs.2014.47.5.483 Text en Copyright © 2014 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Min-Seok
Hwang, Yoohwa
Kim, Hye-seon
Park, In Kyu
Kang, Chang Hyun
Kim, Young Tae
Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction
title Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction
title_full Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction
title_fullStr Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction
title_full_unstemmed Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction
title_short Reverse V-Shape Kinking of the Left Lower Lobar Bronchus after a Left Upper Lobectomy and Its Surgical Correction
title_sort reverse v-shape kinking of the left lower lobar bronchus after a left upper lobectomy and its surgical correction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207108/
https://www.ncbi.nlm.nih.gov/pubmed/25346906
http://dx.doi.org/10.5090/kjtcs.2014.47.5.483
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