Publications by authors named "H Date"

Background: Lung transplantation is a viable lifesaving option for patients with diffuse pulmonary arteriovenous malformations (AVMs). We present a case of diffuse pulmonary AVMs associated with juvenile polyposis and hereditary hemorrhagic telangiectasia (JP-HHT) that was successfully managed by lung transplantation.

Case Presentation: A 19-year-old woman developed severe hypoxemia due to pulmonary AVMs diagnosed at 4 years of age.

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Objective: We developed a technique to determine deep surgical margins using radiofrequency identification markers. This study assessed the feasibility of this technique during extended segmentectomy of intersegmental lesions.

Methods: A single-center, prospective, single-arm study was performed from 2020 to 2023.

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Performing a posterior basal (S10) segmentectomy through a single port is challenging because of the dorsal location of the S10 segment in the lower lobe. The vessels and bronchi to be resected are located deep and away from the major fissure, which makes exposure from the interlobar fissure difficult. To avoid unnecessary parenchymal splitting and potential misrecognition of segmental structures, we performed a uniportal thoracoscopic S10 segmentectomy via a posterior approach without extensively separating the pulmonary parenchyma from the interlobar fissure.

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Objectives: Generally, HLA matching between donors and recipients is not performed in lung transplantation (LTx). Therefore, whether HLA mismatch between donors and recipients (D/R mismatch) influences postoperative outcomes after LTx remains uncertain. In this study, we investigated the influence of D/R mismatch on postoperative outcomes after cadaveric LTx (CLT).

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Article Synopsis
  • Fibroblastic foci (FF) are important indicators of usual interstitial pneumonia (UIP) but can also appear in various fibrotic interstitial lung diseases (ILDs), making them non-specific for UIP.
  • This study analyzed the spatial distribution of FF in different forms of ILDs in patients who underwent lung transplants, categorizing them by anatomical location.
  • Results showed that idiopathic pulmonary fibrosis (IPF) had more total and peripheral FF compared to other ILDs, while centrilobular FF was more prevalent in fibrotic hypersensitivity pneumonitis (FHP), suggesting distinct spatial patterns associated with different diseases.
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