Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Successful Bilateral Lung Transplantation in a Patient with High Panel Reactive Antibody and Positive Cross Matching

  • Bok, Jin San (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine) ;
  • Jun, Jae Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine) ;
  • Lee, Hyun Joo (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine) ;
  • Park, In Kyu (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine) ;
  • Kang, Chang Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine) ;
  • Yang, Jaeseok (Transplant Center, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Young Tae (Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine)
  • Received : 2013.10.23
  • Accepted : 2013.11.30
  • Published : 2014.08.05
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Abstract

A 44-year-old pregnant female patient gave stillbirth while being treated for pneumonia. She developed acute respiratory failure, which resulted in mechanical ventilator support. Diagnostic lung biopsy revealed a cryptogenic organizing pneumonia. The patient's condition deteriorated and a venous-venous extracorporeal membrane oxygenation was placed. She was listed for lung transplantation. Because of her worsening condition lung transplantation was performed despite positive cross matching result. She was treated with rituximab, intravenous immunoglobulin, and plasmapheresis and recovered without event. There is no sign of rejection at the time of last follow-up.

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References

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Cited by

  1. Extracorporeal Life Support in Pregnancy: A Systematic Review vol.9, pp.13, 2014, https://doi.org/10.1161/jaha.119.016072