JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Cliff K. Choong
Charles B. Huddleston
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Choong, C. K.
Right arrow Articles by Huddleston, C. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Choong, C. K.
Right arrow Articles by Huddleston, C. B.
Related Collections
Right arrow Lung - other
Right arrow Lung - transplantation

J Thorac Cardiovasc Surg 2005;130:919-921
© 2005 The American Association for Thoracic Surgery

Brief Communication

Pulmonary segmental venous infarction after living-donor lobar lung transplantation

Cliff K. Choong, FRACS, Ding Z. Hu, MD, Charles B. Huddleston, MD *

Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Mo.

Received for publication January 29, 2005; accepted for publication March 14, 2005.

* Address for reprints: Charles B. Huddleston, MD, Professor of Surgery, No. 1 Children's Place, Suite 5S 50, Children's Hospital, St Louis, MO 63110 (Email: huddlestonc@msnotes.wustl.edu).

The first 20% of the full text of this article appears below.


Figure 1
Huddleston and Choong (left to right)


Complete obstruction of one or more of the major pulmonary veins after lung transplantation is a devastating complication. It results in hemorrhagic infarction of the affected lung within 4 to 6 hours, leading to irreversible lung damage. Reported treatments have included resection of the affected lobe and retransplantation. 1,2 Go We present a case of pulmonary venous infarction after transplantation that was treated conservatively.

Clinical Summary

A 16-year-old girl with a history of cystic fibrosis, multiple pulmonary infections, insulin-dependent diabetes, malnutrition, and anemia underwent a bilateral living-donor lobar lung transplantation for the treatment of end-stage lung disease secondary to cystic fibrosis. Before the operation, she had a forced expiratory volume of 20% predicted and was severely limited by her poor respiratory function. She had to use a wheelchair and required continuous supplementary oxygen. The surgery was performed with cardiopulmonary bypass support and proceeded uneventfully. The donor right and left lower lobes were implanted into the recipient right and left hemithoraces, respectively. Her chest radiograph after the operation was unremarkable, apart from mild bilateral diffuse infiltrates. On postoperative day 1, her chest radiograph revealed a confluent opacity involving the apical segment of the right lower lobe (Figure 1, A). . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Lung TransplantationHome page
G. Massard, N. Santelmo, P.-E. Falcoz, and R. Kessler
Noninfectious complications
Lung Transplantation, June 7, 2010; 177 - 193.
[Abstract] [Fulltext] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2005 by The American Association for Thoracic Surgery.