title: Antibody-mediated rejection of a unilateral donor lung in bilateral living-donor lobar lung transplantation: report of a case.
abstract: We report a case of antibody-mediated rejection (AMR) of a unilateral donor lung in the presence of newly formed donor-specific antibodies, 10 months after living-donor lobar lung transplantation (LDLLT). Of note is that the AMR occurred in the unilateral lung. Furthermore, the lung graft was from her husband and HLA analysis on the recipient's daughter revealed the same donor-specific HLA antigens, which strongly suggested pre-sensitization before lung transplantation. Fortunately, we could perform direct crossmatch even 1 year after lung transplantation because of the living donors.
authors.affiliation: Department of Thoracic Surgery, Kyoto University, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
authors.forename: Fengshi
authors.initials: F
authors.lastname: Chen
authors.forename: Naomi
authors.initials: N
authors.lastname: Chibana
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kanematsu
authors.forename: Shunji
authors.initials: S
authors.lastname: Takakura
authors.forename: Kimiko
authors.initials: K
authors.lastname: Yurugi
authors.forename: Rie
authors.initials: R
authors.lastname: Hishida
authors.forename: Atushi
authors.initials: A
authors.lastname: Fukatsu
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kubo
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Shoji
authors.forename: Takuji
authors.initials: T
authors.lastname: Fujinaga
authors.forename: Toru
authors.initials: T
authors.lastname: Bando
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Date
mesh_terms: D000328:Adult; D005260:Female; D006084:Graft Rejection / Q000175:diagnosis / Q000276:immunology*; D006680:HLA Antigens / Q000276:immunology; D006801:Humans; D054990:Idiopathic Pulmonary Fibrosis / Q000601:surgery*; D007518:Isoantibodies / Q000276:immunology*; D019520:Living Donors; D016040:Lung Transplantation / Q000276:immunology*
chemical_list: D006680:HLA Antigens; D007518:Isoantibodies