{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:39:45Z","timestamp":1753879185421,"version":"3.41.2"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Lung herniation is a rare complication of heart\u2013lung transplantation that can be fatal owing to vascular compromise and airway obstruction. To date, only five cases of lung herniation related to heart\u2013lung transplantation have been reported in the literature; however, to the best of our knowledge, this is the first worldwide report of heart\u2013lung transplantation\u2010related lung herniation in an infant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We describe the case of lung herniation as a rare heart\u2013lung transplantation\u2010related complication in an infant. A 12\u2010month\u2010old female baby developed severe bronchopulmonary dysplasia with severe pulmonary hypertension, and she underwent extracorporeal membrane oxygenation for cardiac collapse and lung support. Then, we performed heart\u2013lung transplantation to manage the irreversible deterioration of her lung function. After the heart\u2010lung transplantation, we found the radiological abnormalities persisted on follow\u2010up chest radiographs until the 13th postoperative day diagnosed as lung herniation of the right lower lobe on chest computed tomography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the relocation of the herniated lung, the clinical condition of the patient improved, and the patient is currently growing without any respiratory symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this case report, we emphasize that clinical awareness and high suspicion of this rare complication are needed for early diagnosis and proper treatment to prevent post\u2010transplantation morbidity and mortality related to potential ischemic injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14656","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T12:24:36Z","timestamp":1700569476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Right lower lung midline herniation as a rare complication in an infant with heart\u2013lung transplantation: A case report"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8774-3397","authenticated-orcid":false,"given":"Dohyung","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital Pusan National University School of Medicine  Yangsan\u2010si Gyeongsangnam\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4407-2746","authenticated-orcid":false,"given":"Kwang Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital Pusan National University School of Medicine  Yangsan\u2010si Gyeongsangnam\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3972-456X","authenticated-orcid":false,"given":"Hyungtae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital Pusan National University School of Medicine  Yangsan\u2010si Gyeongsangnam\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9259-1391","authenticated-orcid":false,"given":"Jae Hong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital Pusan National University School of Medicine  Yangsan\u2010si Gyeongsangnam\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8332-5200","authenticated-orcid":false,"given":"Younga","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital Pusan National University School of Medicine  Yangsan\u2010si Gyeongsangnam\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2088-4029","authenticated-orcid":false,"given":"Joung\u2010Hee","family":"Byun","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital Pusan National University School of Medicine  Yangsan\u2010si Gyeongsangnam\u2010do Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.1992.tb01021.x"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38424-7"},{"key":"e_1_2_13_4_1","first-page":"235","volume-title":"Lung Transplantation, Current Topics in General Thoracic Surgery, an International Series","author":"Dartevelle 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