TY - JOUR
T1 - Successful bilateral lung transplantation after 16 h of lung preservation with EP-TU solution
T2 - report of a case
AU - Oishi, Hisashi
AU - Okada, Yoshinori
AU - Saiki, Yoshikatsu
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
N1 - Publisher Copyright:
© 2014, Springer Japan.
PY - 2015/5/1
Y1 - 2015/5/1
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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84939876472&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84939876472&partnerID=8YFLogxK
U2 - 10.1007/s00595-014-0931-3
DO - 10.1007/s00595-014-0931-3
M3 - Article
C2 - 24840402
AN - SCOPUS:84939876472
SN - 0941-1291
VL - 45
SP - 630
EP - 633
JO - Surgery Today
JF - Surgery Today
IS - 5
ER -