Successful bilateral lung transplantation after 16 h of lung preservation with EP-TU solution: report of a case.
Surg Today
; 45(5): 630-3, 2015 May.
Article
em En
| MEDLINE
| ID: mdl-24840402
ABSTRACT
We report a case of bilateral lung transplantation (BLT) after preservation of the donor graft for 16 h 5 min with EP-TU, an extracellular phosphate-buffered lung preservation solution. The recipient was a 26-year-old woman with idiopathic pulmonary arterial hypertension and the graft ischemic time was prolonged significantly because of the time required to induce peripheral veno-arterial extracorporeal membrane oxygenation (V-A ECMO) under local anesthesia, and address the severe intrathoracic and pericardial adhesions from past surgery for partial anomalous pulmonary venous return, with concurrent annular plication of the tricuspid valve. After the operation, ECMO and continuous hemodiafiltration were started preemptively to protect the grafts against excessive edema. Postoperative chest X-ray showed diffuse bilateral infiltrates, which improved within a few days and she was weaned off ECMO on day 9. Successful BLT after a graft ischemic time of over 16 h has rarely been described in clinical lung transplantation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Preservação de Órgãos
/
Fosfatos
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Transplante de Pulmão
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Soluções para Preservação de Órgãos
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Hipertensão Pulmonar Primária Familiar
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Surg Today
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Japão