TY - JOUR
T1 - Acute Pulmonary Edema Due to Arteriovenous Shunt Placement After Lung Transplantation
AU - Shimizu, Dai
AU - Miyoshi, Kentaroh
AU - Sugimoto, Seiichiro
AU - Toma, Tomoko
AU - Matsuda, Yusuke
AU - Tomioka, Yasuaki
AU - Shiotani, Toshio
AU - Otani, Shinji
AU - Yamane, Masaomi
AU - Toyooka, Shinichi
N1 - Publisher Copyright:
© 2022 The Society of Thoracic Surgeons
PY - 2022
Y1 - 2022
N2 - Lung transplant recipients often have complications of immunosuppressant-induced nephropathy, which may require renal replacement therapy. We report a case of unilateral lung edema and pulmonary hypertension due to arteriovenous fistula placement in a patient with unilateral chronic lung allograft dysfunction after bilateral living-donor lobar lung transplantation. Lung transplant recipients with limited residual vascular beds, such as lobar graft or severe deviation in lung perfusion, are vulnerable to the acute increase in blood flow due to arteriovenous fistula placement and pulmonary edema can easily develop regardless of the left ventricular function. Hence, careful volume control is required.
AB - Lung transplant recipients often have complications of immunosuppressant-induced nephropathy, which may require renal replacement therapy. We report a case of unilateral lung edema and pulmonary hypertension due to arteriovenous fistula placement in a patient with unilateral chronic lung allograft dysfunction after bilateral living-donor lobar lung transplantation. Lung transplant recipients with limited residual vascular beds, such as lobar graft or severe deviation in lung perfusion, are vulnerable to the acute increase in blood flow due to arteriovenous fistula placement and pulmonary edema can easily develop regardless of the left ventricular function. Hence, careful volume control is required.
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U2 - 10.1016/j.athoracsur.2021.12.017
DO - 10.1016/j.athoracsur.2021.12.017
M3 - Article
C2 - 35007504
AN - SCOPUS:85134229457
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
ER -