Contralateral pulmonary artery banding after single lobar lung transplantation

Tatsuaki Watanabe, Yoshinori Okada, Osamu Adachi, Tetsu Sado, Hiroaki Toyama, Masafumi Noda, Yasushi Hoshikawa, Hisashi Oishi, Yoji Sasahara, Yoshikatsu Saiki, Takashi Kondo

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

A 14-year-old female patient underwent right single living-donor lobar lung transplantation for bronchiolitis obliterans after bone marrow transplantation. The patient experienced a complication with severe hypoxemia requiring venovenous extracorporeal membrane oxygenation, which appeared to result from significant ventilation-perfusion mismatch caused by preferential ventilation of the transplanted lobe and relatively preserved perfusion to the native lung. On day 2, we performed left pulmonary artery banding, which significantly improved oxygenation leading to weaning from extracorporeal membrane oxygenation. Our experience indicates that contralateral pulmonary artery banding may be a feasible option to rescue patients from hypoxemia resulting from ventilation-perfusion mismatch after single living-donor lobar lung transplantation.

Original languageEnglish
Pages (from-to)1429-1431
Number of pages3
JournalAnnals of Thoracic Surgery
Volume97
Issue number4
DOIs
Publication statusPublished - 04-2014

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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