Infarction of the lingula following left upper lobe trisegmentectomy

Asian Cardiovasc Thorac Ann. 2016 Jan;24(1):107-9. doi: 10.1177/0218492315610224. Epub 2015 Oct 5.


Anatomical segmentectomy has emerged as the procedure of choice for early-stage non-small-cell lung cancer, especially in the presence of poor cardiopulmonary reserve. The most common postoperative complications are pneumonia, persistent air leak, and rarely, vascular compromise of the remaining lobe. We report the case of a 74-year-old woman who underwent thoracotomy and left upper lobe trisegmentectomy for T1bN0Mo squamous cell carcinoma and subsequently developed infarction and hepatization of the remaining lingula. A completion left upper lobectomy was performed and the patient made a full recovery.

Keywords: Carcinoma; Lung neoplasms; Pneumonectomy; Pulmonary infarction; Recurrent laryngeal nerve injuries; Vocal cord paralysis; non-small-cell lung.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Non-Small-Cell Lung / pathology
  • Carcinoma, Non-Small-Cell Lung / surgery*
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / surgery*
  • Female
  • Humans
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery*
  • Neoplasm Staging
  • Pneumonectomy / adverse effects*
  • Pneumonectomy / methods
  • Pulmonary Infarction / diagnosis
  • Pulmonary Infarction / etiology*
  • Pulmonary Infarction / surgery
  • Reoperation
  • Thoracotomy
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vocal Cord Paralysis / etiology