J Korean Radiol Soc.  2003 Oct;49(4):275-280. 10.3348/jkrs.2003.49.4.275.

Radiographic Manifestations of Reperfusion Edema after Transplantation

Affiliations
  • 1Department of Diagnostic Radiology, Yonsei University College of Medicine, Research Institute of Radiological Science, Yonsei University. kimydrt@yumc.yonsei.ac.kr
  • 2Department of Internal Medicine, Yongdong Severance Hospital, Yonsei University College of Medicine.
  • 3Department of Thoracic and Cardiovascular Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine.

Abstract

PURPOSE: To elucidate the sequential radiologic manifestations of reperfusion edema after lung transplantation.
MATERIALS AND METHODS
The study group comprised five consecutive lung transplant recipients (M:F=3:2; mean age; 47.5 years) who between July 1996 and April 2002 underwent lung transplantation procedures (four, unilateral; one, bilateral) at our institution. We retrospectively reviewed the serial postoperative radiographs obtained and characterized the lung infiltrates.
RESULTS
Lung infiltrates compatible with reperfusion edema were present in all patients (5/5). Reperfusion edema appeared on day 1 in four, and by day 2 in the other. In all transplanted lungs, infiltrates were found in the perihilar and basilar regions, and were scored as maximal on day 1 in one, day 3 in two, day 4 in one and day 5 in the other.
CONCLUSION
The recognition of sequential radiological manifestations helps identify recognition of reperfusion edema after lung transplantation.

Keyword

Lung, transplantation; Lung, radiography

MeSH Terms

Edema*
Humans
Lung
Lung Transplantation
Reperfusion*
Retrospective Studies
Transplantation
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