Choosing the Right Patient for Lung Transplantation: Assessment of Histocompatibility and Sensitization Status

2021 ◽  
pp. 1-12
Author(s):  
Qingyong Xu ◽  
Massimo Mangiola ◽  
Adriana Zeevi
Keyword(s):  
Lung Transplantation ◽  
The Right

Contralateral lung transplantation: a left lung implanted in the right thorax

2001 ◽  
Vol 72 (3) ◽  
pp. 933-935 ◽  
Author(s):  
Jean-Paul Couetil ◽  
Pantelis G Argyriadis ◽  
Michael J Tolan ◽  
Antoine Achkar ◽  
Alain F Carpentier
Keyword(s):  
Lung Transplantation ◽  
Left Lung ◽  
Contralateral Lung ◽  
The Right

The effects of bilateral lung transplantation on ventilatory efficiency, oxygen uptake and the right heart: a two-yr follow-up

2011 ◽  
Vol 25 (1) ◽  
pp. E38-E45 ◽  
Author(s):  
Dirk Habedank ◽  
Ralf Ewert ◽  
Manfred Hummel ◽  
Michael Dandel ◽  
Friedrich Habedank ◽  
...  
Keyword(s):  
Oxygen Uptake ◽  
Lung Transplantation ◽  
Right Heart ◽  
Ventilatory Efficiency ◽  
Bilateral Lung Transplantation ◽  
Bilateral Lung ◽  
The Right

Development of right ventricular outflow tract obstruction after double-lung transplantation for primary pulmonary hypertension

1995 ◽  
Vol 5 (3) ◽  
pp. 278-281 ◽  
Author(s):  
Gül Sagin Saylam ◽  
Jane Somerville
Keyword(s):  
Pulmonary Hypertension ◽  
Lung Transplantation ◽  
Right Ventricular ◽  
Primary Pulmonary Hypertension ◽  
Pulmonary Arterial Pressure ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Outflow Tract ◽  
Pulmonary Arterial ◽  
The Right

SummaryWe present a patient with primary pulmonary hypertension who had unusually high pulmonary arterial pressure prior to double-lung transplantation. Obstruction of the right ventricular outflow tract developed after transplantation and progressed over the subsequent two years.

The Problem after Lung Transplantation for Idiopathic Pulmonary Artery Hypertension Is not the Right Ventricle - Awake ECMO for LV Remodelling

2012 ◽  
Vol 94 (10S) ◽  
pp. 211
Author(s):  
I. Tudorache ◽  
C. Kuehn ◽  
W. Sommer ◽  
M. Avsar ◽  
O. Wiesner ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricle ◽  
Lung Transplantation ◽  
Pulmonary Artery Hypertension ◽  
The Right

scholarly journals A novel experimental porcine model to assess the impact of differential pulmonary blood flow on ischemia–reperfusion injury after unilateral lung transplantation

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Anna Elisabeth Frick ◽  
Michaela Orlitová ◽  
Arno Vanstapel ◽  
Sofie Ordies ◽  
Sandra Claes ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulmonary Artery ◽  
Lung Transplantation ◽  
Reperfusion Injury ◽  
Ischemia Reperfusion Injury ◽  
Ischemia Reperfusion ◽  
Left Lung ◽  
Right Pulmonary Artery ◽  
The Right ◽  
The Impact

Abstract Background Primary graft dysfunction (PGD) remains a major obstacle after lung transplantation. Ischemia–reperfusion injury is a known contributor to the development of PGD following lung transplantation. We developed a novel approach to assess the impact of increased pulmonary blood flow in a large porcine single-left lung transplantation model. Materials Twelve porcine left lung transplants were divided in two groups (n = 6, in low- (LF) and high-flow (HF) group). Donor lungs were stored for 24 h on ice, followed by left lung transplantation. In the HF group, recipient animals were observed for 6 h after reperfusion with partially clamping right pulmonary artery to achieve a higher flow (target flow 40–60% of total cardiac output) to the transplanted lung compared to the LF group, where the right pulmonary artery was not clamped. Results Survival at 6 h was 100% in both groups. Histological, functional and biological assessment did not significantly differ between both groups during the first 6 h of reperfusion. injury was also present in the right native lung and showed signs compatible with the pathophysiological hallmarks of ischemia–reperfusion injury. Conclusions Partial clamping native pulmonary artery in large animal lung transplantation setting to study the impact of low versus high pulmonary flow on the development of ischemia reperfusion is feasible. In our study, differential blood flow had no effect on IRI. However, our findings might impact future studies with extracorporeal devices and represent a specific intra-operative problem during bilateral sequential single-lung transplantation.

scholarly journals Occurrence of metastatic eccrine porocarcinoma in an immunosuppressed patient

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Mitul B. Modi ◽  
Ata S. Moshiri ◽  
Toru Shoji ◽  
Martin C. Mihm ◽  
Xiaowei Xu ◽  
...  
Keyword(s):  
Lung Transplantation ◽  
Immunosuppressive Therapy ◽  
Left Lung ◽  
Immunosuppressed Patient ◽  
Axillary Lymph ◽  
Comfort Care ◽  
History Of ◽  
The Right ◽  
Eccrine Porocarcinoma

Abstract Background Eccrine porocarcinoma is a rare malignancy accounting for 0.005 to 0.01% of all cutaneous tumors. However, its etiology is not well established. Herein we are reporting the occurrence of metastatic porocarcinoma of the back in a patient with a history of multiple cutaneous malignancies and chronic immunosuppression. Case presentation A 79-year-old male with a history of long-term immunosuppressive therapy for left lung transplantation and multiple cutaneous malignancies including melanoma, presented with an enlargening plaque on the right upper back. Biopsy demonstrated an infiltrative epithelial tumor with aggressive histology and ductal formation. Immunohistochemical stains for p63, CK-5/6, and CEA were diffusely positive, while CK-7 and CK-20 were negative. A diagnosis of eccrine porocarcinoma was made. He underwent complete wide excision with negative margins of the right upper back in January 2018. In November 2018, he was found to have a right posterior shoulder mass, positive right axillary lymph nodes, superficial right upper back soft tissue masses and lymphangitic carcinomatosis involving the left lung. He was transitioned to comfort care and subsequently passed from metastatic disease in December 2018. Conclusion The occurrence of eccrine porocarcinoma in a patient on long term immunosuppressive therapy for lung transplantation suggests a possible role for chronic immunosuppression in the induction of a subset of eccrine porocarcinomas, as in other cutaneous malignancies.

Anatomic Distortion of the Right Coronary Artery as a Complication of Lung Transplantation

2010 ◽  
Vol 89 (6) ◽  
pp. 2000-2001 ◽  
Author(s):  
Spencer J. Melby ◽  
Shane J. Larue ◽  
John M. Lasala ◽  
Nirvik Pal ◽  
Anand Lakshminarasimhachar ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Lung Transplantation ◽  
Right Coronary Artery ◽  
The Right

Cardiac and Lung Transplantation and the Right Heart

2021 ◽  
pp. 317-329
Author(s):  
Robert P. Frantz
Keyword(s):  
Lung Transplantation ◽  
Right Heart ◽  
The Right

scholarly journals Non-invasive continuous positive airway pressure in monolateral lung transplant patient with pneumonia and IPF

2016 ◽  
Vol 73 (4) ◽  
Author(s):  
S. Aliberti ◽  
M.C. Andrisani ◽  
P. Tarsia ◽  
R. Trevisan ◽  
R. Cosentini ◽  
...  
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Lung Transplantation ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Left Lung ◽  
Non Invasive ◽  
Non Invasive Ventilation ◽  
Native Lung ◽  
The Right ◽  
Tract Infections

Patients who undergo lung transplantation are prone to develop lower respiratory tract infections, leading to severe acute respiratory failure (ARF). Endotracheal intubation may not be indicated in these patients in light of a higher rate of mortality due to infections. The application of non-invasive ventilation could play a role in bridging these patients through the episode of ARF waiting for medical treatment to have effect. We report the evidence of morphological and physiological effects of the application of non-invasive continuous positive airway pressure during ARF sustained by pneumonia in a patient who underwent left lung transplantation because of idiopathic pulmonary fibrosis (IPF). We studied the effects of the application of positive end-expiratory pressure on both the right native lung affected by IPF and the transplanted lung affected by pneumonia.

Recovery of the right ventricle after single-lung transplantation in pulmonary hypertension

1994 ◽  
Vol 73 (7) ◽  
pp. 494-500 ◽  
Author(s):  
Mordechai R. Kramer ◽  
Hannah A. Valantine ◽  
Sara E. Marshall ◽  
Vaughn A. Starnes ◽  
James Theodore
Keyword(s):  
Pulmonary Hypertension ◽  
Right Ventricle ◽  
Lung Transplantation ◽  
Single Lung Transplantation ◽  
The Right
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