Torsion after left lower lobectomy and cerebral infarction following the re-exploratory thoracotomy: a case report
Inoue, H.; Inoue, H.; Kanabuchi, K.; Ogawa, J.; Koide, S.; Kawada, S.; Shohtsu, A.
Kyobu Geka. Japanese Journal of Thoracic Surgery 43(9): 724-727
1990
ISSN/ISBN: 0021-5252 PMID: 2232392 Document Number: 365801
A 38-year-old man had a left lower lobectomy for pulmonary carcinoid. Following the operation, torsion of the left residual upper lobe occurred. Re-explosive thoracotomy was performed on the second postoperative day. The left upper lobe showed a clockwise 180-degree rotation. Pneumonectomy was not done. After the re-thoracotomy, the patient developed right hemiplegia. Head CT showed a cerebral infarction due to the thrombus of pulmonary vein that was released after the repair of the torsion.