Acute lung injury after lung transplantation is usually due to reperfusion injury and can severely affect outcome. Unilateral lung injury is usually due to obstruction of the pulmonary venous/left atrial anastomosis. We present the successful treatment of a patient with unilateral acute lung injury unusually caused by contralateral pulmonary artery anastomotic obstruction.
View Article and Find Full Text PDFBackground: Pre-operative infection with organisms from the Burkholderia cepacia complex (BCC), particularly B cenocepacia, has been linked with a poorer prognosis after transplantation compared to patients with cystic fibrosis (CF) without this infection. Therefore, many transplant centers do not list these patients for transplantation.
Methods: We report the early and long-term results of a cohort of lung transplant recipients with CF and pre-operative BCC infection.
Background: Lung transplantation is an important option to treat patients with advanced cystic fibrosis (CF) lung disease. The outcomes of a large UK cohort of CF lung transplantation recipients is reported.
Methods: Retrospective review of case notes and transplantation databases.
Reoperative cardiac surgery is associated with substantial morbidity and mortality due to technical problems at sternal reentry, which can result in laceration of the right ventricle, innominate vein injury, or embolization from patent grafts. To minimize the risk associated with reentry, we adopted the method of assisted venous drainage in the cardiopulmonary bypass circuit with peripheral cannulation for cardiac reoperations. From March 1999 to May 2003, a series of 52 patients (38 males; mean age 48.
View Article and Find Full Text PDFWe report a case of combined coronary artery by-pass grafting and orthotopic liver transplantation on cardiopulmonary bypass, in a 56-yr-old man with rapidly progressive ischaemic heart disease and end-stage liver disease. Three months after surgery he is asymptomatic with normal liver function.
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