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Right lower lobectomy for pulmonary infarction before orthotopic heart transplantation
K M Loria1, M H Salinger, T G Frohlich
1Division of Cardiology, Evanston Hospital, Northwestern University Medical School, IL 60201.
Abstract:
A 39-year-old potential heart transplant recipient had a right lower lobe infiltrate and on pulmonary angiography was found to have an embolous to the common basilar artery. This was successfully managed by a right lower lobectomy, after aggressive medical management failed. The patient was treated postoperatively with antibiotics and subsequently underwent orthotopic heart transplantation. At 1 year after transplant the patient has no evidence of cardiac or pulmonary insufficiency.