Document Detail


Early pulmonary vein thrombosis after single lung transplantation.
MedLine Citation:
PMID:  8443196     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary venous obstruction after single lung transplantation may be mistaken for reperfusion injury or myocardial dysfunction. Complete obstruction of one of the major pulmonary veins will result in hemorrhagic infarction of the affected lobe within 4 to 6 hours, limiting the option of treatment to resection (lobectomy) or retransplantation. Early diagnosis is therefore essential. Transesophageal echocardiography can show the pulmonary venous anastomosis and, combined with color flow and Doppler imaging, offer a quick and reliable method of diagnosis. Prevention of this complication entails harvesting an adequate margin of left atrial tissue around the pulmonary vein orifices, meticulous surgical anastomosis, and the use of anticoagulation in the presence of a thrombogenic tendency in the recipient.
Authors:
M A Sarsam; N A Yonan; D Beton; D McMaster; A K Deiraniya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation     Volume:  12     ISSN:  1053-2498     ISO Abbreviation:  J. Heart Lung Transplant.     Publication Date:    1993 Jan-Feb
Date Detail:
Created Date:  1993-04-02     Completed Date:  1993-04-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9102703     Medline TA:  J Heart Lung Transplant     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  17-9     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Wythenshawe Hospital, Manchester, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography
Humans
Lung Transplantation / adverse effects*
Male
Pulmonary Embolism
Pulmonary Veins* / ultrasonography
Thrombosis / etiology*,  ultrasonography
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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