# Resection of infarcted upper lobe with reimplantation of the lower lobe allograft after initial bilateral full-sized lung transplantation: a case report

**Authors:** An-Lies Provoost, Paul De Leyn, Hans G.L. Van Veer, Lieven P. Depypere, Yanina Jansen, Robin Vos, Birgit Weynand, Sophie Pirenne, Dirk E. Van Raemdonck, Laurens J. Ceulemans

PMC · DOI: 10.1016/j.jhlto.2025.100295 · JHLT Open · 2025-05-22

## TL;DR

A patient underwent a complex lung transplant surgery involving resecting an infarcted upper lobe and reimplanting the lower lobe, leading to successful recovery.

## Contribution

This case report presents a novel surgical approach to address complications in bilateral lung transplantation.

## Key findings

- The patient experienced favorable short-term recovery after the procedure.
- Graft function improved at a 7-month follow-up.

## Abstract

We describe the case of a patient with lobar-lung auto-reimplantation following bilateral lung transplantation because of vascular and bronchial anastomotic complications with upper lobe infarction. Pneumonectomy of the left allograft with ex-vivo upper lobectomy and lower lobe reimplantation was successfully performed, resulting in favorable short-term recovery and improving graft function at 7-month follow-up.

## Full-text entities

- **Diseases:** upper lobe infarction (MESH:D007238)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12182309/full.md

## References

8 references — full list in the complete paper: https://tomesphere.com/paper/PMC12182309/full.md

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Source: https://tomesphere.com/paper/PMC12182309