{Reference Type}: Case Reports
{Title}: Lobar Torsion Following Open Repair of Type B Aortic Dissection and Thoracoabdominal Aortic Aneurysm in a Patient with Marfan Syndrome.
{Author}: AlMutawa Y;Olaya DE;Huang GS;Kaminska M;Pressacco J;Spicer J;Steinmetz O;
{Journal}: EJVES Vasc Forum
{Volume}: 60
{Issue}: 0
{Year}: 2023
暂无{DOI}: 10.1016/j.ejvsvf.2023.05.016
{Abstract}: <B>UNASSIGNED: </B>Lobar torsion is a rare, challenging diagnosis that requires a high index of suspicion and prompt investigation and management. Detection and urgent fixation or lung resection are critical to avoid catastrophic sequelae of lung necrosis, bronchopleural fistulae, and death.<BR><B>UNASSIGNED: </B>A case of lobar torsion following open repair of a type B aortic dissection and thoraco-abdominal aortic aneurysm in a patient with Marfan syndrome is presented. After a non-specific constellation of symptoms, the diagnosis was confirmed with computed tomography and bronchoscopic findings and the patient underwent detorsion and plication of a torted, yet viable, left upper lobe on post-operative day 6. The patient is currently being followed with serial imaging to follow a necrotic consolidation of the left upper lobe.<BR><B>UNASSIGNED: </B>This was a case of lobar torsion in a patient with Marfan syndrome and the degree of connective tissue disease may have predisposed the patient to this rare surgical complication. The case presents a challenging dilemma due to the risks associated with exposing a synthetic aortic graft to a potentially infected space if lobar resection or a pneumonectomy was performed.