Use of Extended-Criteria Lungs on a Lobe-by-Lobe Basis Through Ex Vivo Lung Perfusion Assessment Kentaroh Miyoshi, MD, Takahiro Oto, MD, Yusuke Konishi,

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Presentation transcript:

Use of Extended-Criteria Lungs on a Lobe-by-Lobe Basis Through Ex Vivo Lung Perfusion Assessment Kentaroh Miyoshi, MD, Takahiro Oto, MD, Yusuke Konishi, MD, Yutaka Hirano, MD, Masanori Okada, MD, Norichika Iga, MD, Shin Hirayama, MD, Seiichiro Sugimoto, MD, Masaomi Yamane, MD, Motomu Kobayashi, MD, Shinichiro Miyoshi, MD The Annals of Thoracic Surgery Volume 99, Issue 5, Pages 1819-1821 (May 2015) DOI: 10.1016/j.athoracsur.2014.06.115 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest radiographs of the donor on the (A) ninth day after intubation and (B) of the recipient on the second day after transplantation and (C) the seventh day after transplantation. The Annals of Thoracic Surgery 2015 99, 1819-1821DOI: (10.1016/j.athoracsur.2014.06.115) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Gross findings on (A) the dorsal side of the lungs at procurement and (B) the lungs in the ex vivo lung perfusion (EVLP) chamber 80 minutes after the start of perfusion. The left lower lobe (LLL) appeared severely edematous and not fully expanded, despite repeated recruitment maneuvers on the EVLP rig. In contrast, the other lobes, including the right lower lobe (RLL), which initially appeared injured, showed improvement on gross appearance during EVLP. The Annals of Thoracic Surgery 2015 99, 1819-1821DOI: (10.1016/j.athoracsur.2014.06.115) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions