Contralateral pulmonary artery banding after single lobar lung transplantation.
A 14-year-old female patient underwent right single living-donor lobar lung transplantation for bronchiolitis obliterans after bone marrow transplantation. The patient experienced a complication with severe hypoxemia requiring venovenous extracorporeal membrane oxygenation, which appeared to result from significant ventilation-perfusion mismatch caused by preferential ventilation of the transplanted lobe and relatively preserved perfusion to the native lung. On day 2, we performed left pulmonary artery banding, which significantly improved oxygenation leading to weaning from extracorporeal membrane oxygenation. Our experience indicates that contralateral pulmonary artery banding may be a feasible option to rescue patients from hypoxemia resulting from ventilation-perfusion mismatch after single living-donor lobar lung transplantation.
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Tatsuaki
T
Watanabe
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan. Electronic address: yokada@idac.tohoku.ac.jp.
Yoshinori
Y
Okada
Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Osamu
O
Adachi
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Tetsu
T
Sado
Department of Anesthesiology, Tohoku University Hospital, Sendai, Japan.
Hiroaki
H
Toyama
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Masafumi
M
Noda
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Yasushi
Y
Hoshikawa
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Hisashi
H
Oishi
Department of Pediatrics, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yoji
Y
Sasahara
Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Yoshikatsu
Y
Saiki
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Takashi
T
Kondo
D000293:Adolescent; D001989:Bronchiolitis Obliterans / Q000601:surgery*; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D011651:Pulmonary Artery / Q000601:surgery