Hemodilution is an effective treatment for reperfusion edema after lung transplantation.
A 38-year-old patient underwent left single-lung transplantation for end-stage histiocytosis with secondary pulmonary hypertension and polycythemia. Despite use of an optimal lung graft and a total ischemia limited to 250 minutes, major pulmonary edema developed postoperatively. Hemodilution resulted in a quick recovery of lung function. We speculate that blood hyperviscosity was a major factor of pulmonary edema in this patient.
Massard
G
G
Department of Thoracic Surgery, University Hospital, Strasburg, France.
Rigolot
J C
JC
Hentz
J G
JG
Kessler
R
R
Dupeyron
J P
JP
Wihlm
J M
JM
Morand
G
G
D000328:Adult; D006400:Hematocrit; D006438:Hemodilution / Q000379:methods*; D006439:Hemodynamics; D006646:Histiocytosis, Langerhans-Cell / Q000150:complications / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D011086:Polycythemia / Q000209:etiology; D011654:Pulmonary Edema / Q000209:etiology / Q000628:therapy*; D015427:Reperfusion Injury / Q000209:etiology / Q000628:therapy*