Ex vivo bilateral pulmonary embolectomy for donor lungs prior to transplantation.
Pulmonary arterial embolic disease of donor lungs is a known entity. Its implications on the technicality, the perioperative management, and the outcome of lung transplantation depend on the extent of the embolic disease and the indicators of lung function at the time of procurement. We report a case of lung transplantation from a donor who was known to have significant acute pulmonary embolic disease and the perioperative management used to optimize the outcome.
Shihata
Mohammad
M
Division of Cardiac Surgery, University of Alberta Hospital, Edmonton, Alberta, Canada. mshihata@gmail.com
Ghorpade
Nitin
N
Lien
Dale
D
Modry
Dennis
D
D017091:Colitis, Ischemic / Q000601:surgery; D017128:Embolectomy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery; D008168:Lung / Q000098:blood supply; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012039:Regional Blood Flow / Q000502:physiology; D012086:Reoperation; D014019:Tissue Donors; D052096:Warm Ischemia