Transplantation of a three-lobed donor left lung: A case report.
Samuel JacobIan A MakeyMagdy M El-Sayed AhmedJorge M MalleaDavid B ErasmusErol V BelliPublished in: SAGE open medical case reports (2019)
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.
Keyphrases
- idiopathic pulmonary fibrosis
- long term care
- healthcare
- patients undergoing
- quality improvement
- palliative care
- deep learning
- interstitial lung disease
- artificial intelligence
- convolutional neural network
- stem cells
- machine learning
- rheumatoid arthritis
- mesenchymal stem cells
- high resolution
- optical coherence tomography
- systemic sclerosis
- pain management
- clinical evaluation