title: Use of Extended-Criteria Lungs on a Lobe-by-Lobe Basis Through Ex Vivo Lung Perfusion Assessment.
abstract: Initially rejected and extended-criteria lungs were partially used through an ex vivo lung perfusion (EVLP) assessment that was first clinically applied in Asia. The truly injured lobe (left lower lobe) was identified during 89-minute normothermic EVLP and was excised, and the remaining lobes were successfully transplanted into a patient with lymphangioleiomyomatosis. The lung lobes showed heterogeneous changes on the ex vivo rig, and a brief duration of EVLP helped differentiate lung quality on a lobe-by-lobe basis.
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Kentaroh
authors.initials: K
authors.lastname: Miyoshi
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan. Electronic address: oto@md.okayama-u.ac.jp.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Oto
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Konishi
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Hirano
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Masanori
authors.initials: M
authors.lastname: Okada
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Norichika
authors.initials: N
authors.lastname: Iga
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Shin
authors.initials: S
authors.lastname: Hirayama
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Seiichiro
authors.initials: S
authors.lastname: Sugimoto
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Masaomi
authors.initials: M
authors.lastname: Yamane
authors.affiliation: Department of Anesthesiology, Okayama University Hospital, Okayama, Japan.
authors.forename: Motomu
authors.initials: M
authors.lastname: Kobayashi
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Miyoshi
mesh_terms: D000328:Adult; D005260:Female; D006084:Graft Rejection; D006801:Humans; D016040:Lung Transplantation; D010477:Perfusion / Q000379:methods*; D009927:Tissue and Organ Procurement