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      Single Lung Retransplantation for Graft Infarction due to Herniation of Heart

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          Abstract

          A young woman with terminal respiratory failure due to idiopathic pulmonary hypertension underwent bilateral lung transplantation. The postoperative course was complicated by herniation of the heart through over the cut pericardial edge on left side leading to left-sided graft infarction requiring pneumonectomy. Unable to wean off mechanical ventilation, patient required lobar transplantation on the left side.

          Most cited references7

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          Registry of the International Society for Heart and Lung Transplantation: twenty-fourth official adult lung and heart-lung transplantation report-2007.

          Jason Christie, Paul Aurora, M Boucek … (2007)
          Article 0 comments Cited 76 times – based on 0 reviews     Review now
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            Pulmonary venous infarction.

            M. Johnson, Jon Williamson, F Ellis … (1992)
            Pulmonary venous infarction, although rare, can develop in patients with the various pathologic conditions outlined. The triad of cough, dyspnea, and hemoptysis should raise clinical suspicion. The venous phase of pulmonary arteriography is the best way to document pulmonary venous obstruction, although MR imaging may also prove useful in the future. Treatment of patients with pulmonary venous infarction should be determined on the basis of the obstructing pathologic findings. Antibiotic therapy is important, as evidenced by the early experimental experience with this condition. It may be the only treatment available to patients with idiopathic fibrosing mediastinitis. Pulmonary resection, however, can be accomplished when a localized obstructing lesion is identified.
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              Pulmonary embolism and pulmonary infarction after lung transplantation.

              Igor Krivokuca, Ed A van de Graaf, Diana A. van Kessel … (2011)
              Venous thromboembolism (VTE), which includes pulmonary embolism (PE) and deep vein thrombosis (DVT), is a common occurrence in patients undergoing surgery and is a potentially fatal complication. Especially after lung transplantation, vascular complications can compromise the function of the allograft and limit survival. Typically, the risk of pulmonary infarction after PE in lung transplant recipients is high because the absence or poor development of the collateral bronchial circulation may predispose lung transplant recipients to pulmonary infarction. This article reports 2 cases of PE with associated pulmonary infarction after lung transplantation with significant morbidity.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Thorac Cardiovasc Surg Rep
                Journal ID (iso-abbrev): Thorac Cardiovasc Surg Rep
                Journal ID (doi): 10.1055/s-00024355
                Title: The Thoracic and Cardiovascular Surgeon Reports
                Publisher: Georg Thieme Verlag KG (Stuttgart · New York )
                ISSN (Print): 2194-7635
                ISSN (Electronic): 2194-7643
                Publication date (Electronic): 26 September 2013
                Publication date (Print): December 2013
                Volume: 2
                Issue: 1
                Pages: 40-42
                Affiliations
                [1 ]Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, London, Middlesex, United Kingdom
                [2 ]Department of Radiology, Royal Brompton & Harefield NHS Foundation Trust, London, Middlesex, United Kingdom
                Author notes
                Address for correspondence Anton Sabashnikov, MD Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust Harefield Hospital Hill End Road Harefield, London, Middlesex UB9 6JHUnited Kingdom a.sabashnikov@ 123456rbht.nhs.uk
                Article
                Publisher ID: 130028cr
                DOI: 10.1055/s-0033-1356750
                PMC ID: 4176066
                PubMed ID: 25360412
                SO-VID: 61ee4be7-d729-4130-bf46-3e58cfd50fee
                Copyright © © Thieme Medical Publishers
                History
                Date received : 03 May 2013
                Date accepted : 04 August 2013
                Categories
                Subject: Article

                Keywords: primary graft infarction,lobar lung transplantation,lung transplantation
                Data availability:
                Keywords: primary graft infarction, lobar lung transplantation, lung transplantation

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