Lung transplantation in Kartagener syndrome and situs inversus: Potential of multidetector row computed tomography and three-dimensional postprocessing

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Presentation transcript:

Lung transplantation in Kartagener syndrome and situs inversus: Potential of multidetector row computed tomography and three-dimensional postprocessing Thomas Schertler, Dr med, Didier Lardinois, PD, Dr med, Thomas Boehm, PD, Dr med, Walter Weder, Prof, Dr med, Simon Wildermuth, PD, Dr med, Hatem Alkadhi, PD, Dr med The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 3, Pages 814-815 (September 2007) DOI: 10.1016/j.jtcvs.2007.05.013 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Preoperative CT-based coronal MPR (a) and SSD of the bronchial tree (b). Situs inversus with dextroposition of the ascending aorta and aortic arch (arrow) (a). Multiple bronchiectasis (arrowheads) in the (right) lingula and left upper lobe after previous middle lobe and lower lobe resection on the left side (a, b). Irregular shaped distal trachea with a low-grade carinal stenosis and a sacculation of the left main bronchus corresponding to the stump after left lobectomy (arrows) (b). SSD furthermore revealed the exact geometry and length of the main stem bronchi, facilitating surgical planning (b). Endobronchial view (c) based on virtual bronchoscopy of MDCT data of the left main bronchus and bronchial stump (arrow) of the resected left lower lung segments. MPR, multiplanar reformations; SSD, surface-shaded display; MDCT, multidetector row computed tomography. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 814-815DOI: (10.1016/j.jtcvs.2007.05.013) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Postoperative situs after lung transplantation demonstrating bronchial and cardiovascular anatomy. VR image in a caudocranial view demonstrates a kinking (white arrow) of the right pulmonary artery (rPA). The kinking had no impact on the clinical condition. AA, Ascending aorta; AD, descending aorta; PT, pulmonary trunk; lPA, left pulmonary artery; T, trachea; rMB, right main bronchus; lMB, left main bronchus; VR, volume rendering. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 814-815DOI: (10.1016/j.jtcvs.2007.05.013) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions