title: Hemodilution is an effective treatment for reperfusion edema after lung transplantation.
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, University Hospital, Strasburg, France.
authors.forename: G
authors.initials: G
authors.lastname: Massard
authors.forename: J C
authors.initials: JC
authors.lastname: Rigolot
authors.forename: J G
authors.initials: JG
authors.lastname: Hentz
authors.forename: R
authors.initials: R
authors.lastname: Kessler
authors.forename: J P
authors.initials: JP
authors.lastname: Dupeyron
authors.forename: J M
authors.initials: JM
authors.lastname: Wihlm
authors.forename: G
authors.initials: G
authors.lastname: Morand
mesh_terms: 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*