Successful lung transplantation from a donor with a saddle pulmonary embolus.
Pulmonary embolus has received scant attention as a contraindication to lung donation. Reported is a case of a saddle pulmonary embolus successfully treated with thrombolytics in a donor whose lung was ultimately successfully transplanted. Discussed are the theoretical likelihood of thromboembolus in potential lung donors and the possible implications of pulmonary embolism on donor selection and lung physiology around the time of transplantation.
Frenia
Douglas
D
Walter Reed Army Medical Center, Washington, DC 20307, USA. dsfrenia@comcast.net
Nathan
Steven D
SD
Ahmad
Shahzad
S
Guerrero
Melanie
M
Distefano
David
D
Massamiano
Paul
P
Lefrak
Edward
E
Burton
Nelson
N
D000328:Adult; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009926:Organ Preservation / Q000379:methods*; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy; D018570:Risk Assessment; D020521:Stroke / Q000175:diagnosis* / Q000628:therapy; D015912:Thrombolytic Therapy / Q000379:methods; D014019:Tissue Donors; D009927:Tissue and Organ Procurement; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome