Partial Anomalous Pulmonary Venous Return in a Lung Transplant Recipient

Belli, Erol V.; Landolfo, Kevin P.; Thomas, Mathew; Odell, John A.

doi:10.1016/j.athoracsur.2012.10.037

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…Size-matching of the donor and recipient vascular lumina is important to avoid hour-glass shaped narrowing of the anastomosis. Techniques to overcome significant size-mismatch include trimming excess edges on the larger vessel, enlarging the smaller one with spatulation, pericardial patch angioplasty or division of the common wall between smaller vessels to create a common orifice (32)(33)(34).…”

Section: Anastomotic Stenosismentioning

confidence: 99%

Postoperative management and acute complications after lung transplantation

Haddad¹,

Thomas²

2023

Curr Chall Thorac Surg

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Lung transplantation is an established therapy for select patients with end-stage pulmonary disease, offering prolonged survival and significant improvement in recipient's quality of life. The postoperative care of lung transplant recipients is quite complex and deals with the prevention and management of a wide spectrum of immediate post-operative complications. Since these complications occur frequently and are associated with poor outcomes including increased short and long-term morbidity and mortality, it is extremely important to recognize and manage them early. It is worth noting that the post-operative critical care of lung transplant recipients is multidisciplinary in nature and presents with evolving clinical scenarios that require frequent changes in treatment plans. In addition to the medical and surgical teams, allied health providers like respiratory, physical and nutritional therapists play a pivotal role in the management of patients. Close collaboration and communication between the different teams will eventually translate into a better outcomes and survival. In this review, the first part will highlight the important aspects of the immediate care of the lung transplant recipients following surgery including monitoring, ventilator and hemodynamic management, pain control, immunosuppression and the prevention of infection in addition to other nuances. The second part of the review will discuss the diagnosis and management of acute medical [primary graft dysfunction (PGD), acute allograft rejection] and surgical complications such as those related to the airways, vascular anastomosis or pleural space.

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Section: Anastomotic Stenosismentioning

confidence: 99%

Postoperative management and acute complications after lung transplantation

Haddad¹,

Thomas²

2023

Curr Chall Thorac Surg

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“…In cases with left-side involvement, the small left atrial cuff shows large mismatch with the cuff of the normal donor, which necessitates enlargement of the recipient cuff. Belli et al [ 5 ] described a cuff enlargement method based on a modification of the neo-cuff technique. A neo-cuff is made by clamping the left atrium, including the left atrial appendage, and the inferior pulmonary vein.…”

Section: Partial Anomalous Pulmonary Venous Returnmentioning

confidence: 99%

Technical Aspects of Lung Transplantation: Adverse Events and Circumstances

Kim

2022

J Chest Surg

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Adverse events or emergency situations that are unacceptable in the context of lung transplantation may occur during the procedure. These adverse events and circumstances are not problems that are caused by insufficient experience or can be solved by increasing surgical experience. The purpose of this review is to describe the adverse events and circumstances that occur during lung transplantation and to identify an appropriate surgical approach through an analysis of case reports in the global literature.

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