Lobar torsion following open surgical repair for type B aortic dissection in a patient with Marfan syndrome

Abstract

BackgroundLobar torsion is a rare and life-threatening condition where a lobe, segment, or the entire lung abnormally rotates. Therefore, timely diagnosis and appropriate management are crucial for favorable patient prognosis.Case presentationA 27-year-old female patient with a history of Marfan syndrome was under surveillance for a type B aortic dissection. She underwent open repair for a worsening aortic dissection. Her postoperative course was complicated by left upper lobe torsion, necessitating a subsequent left upper lobe lobectomy.ConclusionsIn patients with risk factors for lung torsion identified during or after aortic dissection repair, prompt investigation and treatment of suspicious radiological findings are crucial for improving patient outcomes.