title: Immediate single lobar retransplantation for primary graft dysfunction after living-donor lobar lung transplantation: Report of a case.
abstract: A 24-year-old man with cystic fibrosis underwent living-donor lobar lung transplantation (LDLLT) with grafts donated from his father, who had mild cirrhosis, and his uncle. The graft from his father failed, and retransplantation was required 44 h after LDLLT, using his sister's left lower lobe. The retransplantation was successful; 18 months postoperatively, the recipient and all three donors are doing well. The favorable outcome was achieved owing to the complete assessment of all potential donors in advance, and the appropriate decision to perform retransplantation in a timely manner. Whether this life-saving retransplant procedure for unexpected primary graft dysfunction after LDLLT can be justified requires further experience and a longer follow-up.
authors.affiliation: Division of Surgical Oncology, Department of Translational Medical Science, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Tagawa
authors.forename: Naoya
authors.initials: N
authors.lastname: Yamasaki
authors.forename: Tomoshi
authors.initials: T
authors.lastname: Tsuchiya
authors.forename: Takuro
authors.initials: T
authors.lastname: Miyazaki
authors.forename: Atsuko
authors.initials: A
authors.lastname: Hara
authors.forename: Misato
authors.initials: M
authors.lastname: Amenomori
authors.forename: Hanako
authors.initials: H
authors.lastname: Fujita
authors.forename: Noriho
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Koichi
authors.initials: K
authors.lastname: Izumikawa
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
authors.forename: Tomayoshi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
mesh_terms: D000328:Adult; D003550:Cystic Fibrosis / Q000601:surgery*; D006801:Humans; D019520:Living Donors; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D055031:Primary Graft Dysfunction / Q000601:surgery*; D012086:Reoperation / Q000379:methods