title: Lung retransplantation in an adult 13 years after single lobar transplant in childhood.
abstract: Single living-donor lobar lung transplantation provides acceptable results for critically ill children; however, an additional lung transplantation may be required in the future as the recipient grows. We describe a case of successful lung retransplantation in a grown-up patient after single lobar lung transplantation in childhood. A 23-year-old man underwent bilateral cadaveric lung retransplantation for chronic lung allograft dysfunction 13 years after right single living-donor lobar transplantation for idiopathic pulmonary arterial hypertension performed at the age of 10 years. The postoperative course was uneventful. The patient had received growth hormone therapy at a local hospital for 3 years until the development of chronic lung allograft dysfunction after the initial transplantation. Pediatric recipients undergoing single living-donor lobar lung transplantation should be cautiously followed for potential retransplantation.
authors.affiliation: Department of General Thoracic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. sugimo-s@cc.okayama-u.ac.jp.
authors.forename: Seiichiro
authors.identifier: http://orcid.org/0000-0001-6649-4777
authors.initials: S
authors.lastname: Sugimoto
authors.affiliation: Department of Organ Transplant Center, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Otani
authors.affiliation: Department of General Thoracic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ohki
authors.affiliation: Department of Organ Transplant Center, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kurosaki
authors.affiliation: Department of General Thoracic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
authors.forename: Kentaroh
authors.initials: K
authors.lastname: Miyoshi
authors.affiliation: Department of General Thoracic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
authors.forename: Masaomi
authors.initials: M
authors.lastname: Yamane
authors.affiliation: Department of General Thoracic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Miyoshi
authors.affiliation: Department of Organ Transplant Center, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Oto
mesh_terms: D064591:Allografts; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery*; D019520:Living Donors; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D055031:Primary Graft Dysfunction / Q000601:surgery*; D012086:Reoperation; D055815:Young Adult
keywords: Bronchiolitis obliterans; Lung transplantation; Pediatric; Pulmonary hypertension; Reoperation