Successful bilateral lung transplantation after 16 h of lung preservation with EP-TU solution: report of a case

Hisashi Oishi, Yoshinori Okada, Yoshikatsu Saiki, Tetsu Sado, Masafumi Noda, Yasushi Hoshikawa, Chiaki Endo, Akira Sakurada, Sumiko Maeda, Miki Akiba, Kunihiko Hoshi, Takashi Kondo

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)630-633
Number of pages4
JournalSurgery Today
Volume45
Issue number5
DOIs
Publication statusPublished - 01-05-2015

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Lung Transplantation
Transplants
Lung
Scimitar Syndrome
Hemodiafiltration
Extracorporeal Membrane Oxygenation
Tricuspid Valve
Local Anesthesia
Edema
Thorax
Phosphates
X-Rays
Tissue Donors

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Oishi, Hisashi ; Okada, Yoshinori ; Saiki, Yoshikatsu ; Sado, Tetsu ; Noda, Masafumi ; Hoshikawa, Yasushi ; Endo, Chiaki ; Sakurada, Akira ; Maeda, Sumiko ; Akiba, Miki ; Hoshi, Kunihiko ; Kondo, Takashi. / Successful bilateral lung transplantation after 16 h of lung preservation with EP-TU solution : report of a case. In: Surgery Today. 2015 ; Vol. 45, No. 5. pp. 630-633.
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Oishi, H, Okada, Y, Saiki, Y, Sado, T, Noda, M, Hoshikawa, Y, Endo, C, Sakurada, A, Maeda, S, Akiba, M, Hoshi, K & Kondo, T 2015, 'Successful bilateral lung transplantation after 16 h of lung preservation with EP-TU solution: report of a case', Surgery Today, vol. 45, no. 5, pp. 630-633. https://doi.org/10.1007/s00595-014-0931-3

Successful bilateral lung transplantation after 16 h of lung preservation with EP-TU solution : report of a case. / Oishi, Hisashi; Okada, Yoshinori; Saiki, Yoshikatsu; Sado, Tetsu; Noda, Masafumi; Hoshikawa, Yasushi; Endo, Chiaki; Sakurada, Akira; Maeda, Sumiko; Akiba, Miki; Hoshi, Kunihiko; Kondo, Takashi.

In: Surgery Today, Vol. 45, No. 5, 01.05.2015, p. 630-633.

Research output: Contribution to journalArticle

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AU - Sado, Tetsu

AU - Noda, Masafumi

AU - Hoshikawa, Yasushi

AU - Endo, Chiaki

AU - Sakurada, Akira

AU - Maeda, Sumiko

AU - Akiba, Miki

AU - Hoshi, Kunihiko

AU - Kondo, Takashi

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N2 - 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.

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