Horseshoe Lung Secondary to Hypoplastic Left Lung for Pneumonectomy

Sinha, Prabhat Kumar; Misra, Satyajeet; Unnikrishnan, Madathipat; Bhuyan, Ritwick Raj

doi:10.1053/j.jvca.2006.07.008

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Only 2 cases have been reported in the literature similar to our patient. 3,4 In both cases the left lung was hypoplastic. However, the clinical presentation with pneumothorax is the only such case in the literature.…”

Section: Discussionmentioning

confidence: 88%

“…1,2 Hypoplasia of one lung and compensatory hyperinflation of the contralateral lung is usually the result of chronic inflammatory lung disease causing pulmonary hypoplasia. 3,4 It is generally characterized by herniation of the anterior segment of the right upper lobe to the upper half of the left hemithorax. The features of these conditions are shown in Table 1.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

False appearance of bilateral pneumothorax in a patient with hypoplastic left lung

Çardak

Tukel

Demirhan

et al. 2012

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

False appearance of bilateral pneumothorax in a patient with hypoplastic left lung

Çardak

Tukel

Demirhan

et al. 2012

The Journal of Thoracic and Cardiovascular Surgery

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“…The patient did not have life-threatening cardiovascular complications, and we believe that this is why his horseshoe lung with pulmonary sequestration was not observed until the age of 69 years. To our knowledge, this is the oldest adult patient diagnosed with horseshoe lung [ 6 – 9 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral thoracotomy for horseshoe lung complicated with severe aspergilloma: a case report

Kagohashi,

Kurihara,

Hanafusa

et al. 2024

surg case rep

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Background Horseshoe lung is a rare congenital malformation in which the lung protrudes from the mediastinum to the other side. Owing to the high frequency of other fatal cardiovascular complications, it is often diagnosed in childhood and rarely unnoted until adulthood. We report a case of horseshoe lung in an older patient who underwent thoracotomy. Case presentation The patient was a 69-year-old man with chronic obstructive pulmonary disease (COPD) and a history of heavy smoking. The patient was admitted to the hospital because of acute exacerbation of COPD. Computed tomography revealed horseshoe lung and pulmonary sequestration with pneumonia. This was the first time that he was diagnosed with horseshoe lung; however, he had been treated for pneumonia multiple times before. Surgery for the horseshoe lung was recommended; however, the patient declined it because his symptoms of acute COPD exacerbation were relieved by medication. Aspergillus infection of the horseshoe lung led to frequent bloody sputum, and the patient’s respiratory condition gradually worsened. Two years after the initial diagnosis, the patient decided to undergo the surgery. Surgery was performed in the order of left and right thoracotomies, with posterolateral thoracotomies performed bilaterally. Surgery was difficult because of strong adhesions around the inflamed lung; however, the lung was removed in one lump. The patient was extubated on postoperative day (POD) 1, and rehabilitation was initiated. His high sputum volume caused postoperative pneumonia, and the patient was again placed on a ventilator on POD 9. He underwent open-window surgery for concomitant pyothorax. The patient was weaned off the ventilator when the inflammation improved and was discharged on POD 133. The patient lived at home, developed severe pneumonia 4 months later, and died of respiratory failure. Conclusion Pulmonary sequestration and horseshoe lungs are congenital malformations that require surgery. The selection of the optimal time for surgery is important.

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