title: A successful bilateral lung transplantation in a patient with high panel reactive antibody and positive cross matching.
abstract: A 44-year-old pregnant female patient gave stillbirth while being treated for pneumonia. She developed acute respiratory failure, which resulted in mechanical ventilator support. Diagnostic lung biopsy revealed a cryptogenic organizing pneumonia. The patient's condition deteriorated and a venous-venous extracorporeal membrane oxygenation was placed. She was listed for lung transplantation. Because of her worsening condition lung transplantation was performed despite positive cross matching result. She was treated with rituximab, intravenous immunoglobulin, and plasmapheresis and recovered without event. There is no sign of rejection at the time of last follow-up.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Jin San
authors.initials: JS
authors.lastname: Bok
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Jae Hyun
authors.initials: JH
authors.lastname: Jun
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Hyun Joo
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: In Kyu
authors.initials: IK
authors.lastname: Park
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Chang Hyun
authors.initials: CH
authors.lastname: Kang
authors.affiliation: Transplant Center, Seoul National University Hospital ; Transplantation Research Institute, Seoul National University College of Medicine.
authors.forename: Jaeseok
authors.initials: J
authors.lastname: Yang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital ; Transplantation Research Institute, Seoul National University College of Medicine.
authors.forename: Young Tae
authors.initials: YT
authors.lastname: Kim
keywords: Histocompatibility testing; Lung transplantation; Plasmapheresis