Delayed Chest Closure in Adult Living-donor Lobar Lung Transplantation-A Case Report.

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Tác giả: Takashi Hirama, Marina Nakatsuka, Hiromichi Niikawa, Masafumi Noda, Hirotsugu Notsuda, Hisashi Oishi, Yoshinori Okada, Chikara Sakai, Yuki Shundo, Takaya Suzuki, Tatsuaki Watanabe, Yui Watanabe

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : Transplantation proceedings , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 703187

Delayed chest closure (DCC) is a useful technique in cases with oversized lung grafts, pulmonary edema, and hemodynamic instability. Anatomically oversized lung grafts are potentially problematic in pediatric living-donor lobar lung transplantation (LDLLT), but rarely in an adult LDLLT. We experienced a case of anatomically oversized grafts in the adult LDLLT requiring DCC, although the grafts provided only 57.2% of the recipient's predicted forced vital capacity. Through 3-dimensional computed tomography volumetry, the volume of the donor's right lower lobe was illustrated as 108% of that of the recipient's right hemithorax, the volume of the donor left lower lobe was 143% of that of the recipient's left hemithorax. Her chest was closed without volume reduction 5 days after transplantation. Our experience illustrates the importance of anatomical size-matching even in an adult LDLLT and the usefulness of DCC as a perioperative management modality.
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