title: Donor fat embolism and primary graft dysfunction after lung transplantation.
abstract: Primary lung graft dysfunction is one of the major causes of perioperative morbidity and mortality in lung transplantation. Primary lung graft dysfunction is a clinical syndrome occurring in the immediate postoperative period after lung transplantation and is characterized by severe hypoxemia, pulmonary edema, and pulmonary infiltrates on chest x-ray film, requiring that the patient remain intubated and thus favoring pulmonary infection, sepsis, and subsequent multiple organ failure in the transplanted patient. It has recently been shown that unexpected pulmonary embolism is relatively common in the donor and is associated with primary lung graft dysfunction. However, we believe that only one case of primary lung graft dysfunction due to pulmonary fat embolism has been documented histologically in patients undergoing lung transplantation. The objective of this study is to report our experience with a case of primary lung graft dysfunction due to fat embolism in the donor lung detected in the morphologic study.
authors.affiliation: Department of Thoracic Surgery, Lung Transplant-Cystic Fibrosis Unit, La Fe University Hospital, Valencia, Spain. jpadilla@comv.es
authors.forename: José
authors.initials: J
authors.lastname: Padilla
authors.forename: Carlos
authors.initials: C
authors.lastname: Jordá
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Peñalver
authors.forename: José
authors.initials: J
authors.lastname: Cerón
authors.forename: Juan
authors.initials: J
authors.lastname: Escrivá
authors.forename: Francisco
authors.initials: F
authors.lastname: Vera-Sempere
mesh_terms: D000293:Adolescent; D000328:Adult; D001926:Brain Death; D004620:Embolism, Fat / Q000175:diagnosis*; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis; D011654:Pulmonary Edema / Q000175:diagnosis; D013902:Radiography, Thoracic; D012086:Reoperation; D014019:Tissue Donors; D016896:Treatment Outcome