Understand the imaging findings of lung transplantation and common post-transplantation complications.
Lung transplantation has been established as a treatment for end-stage pulmonary disease.
Complications of lung transplantation may include problems related mechanical factor,
airway or vascular anastomosis,
variable pulmonary parenchymal or pleural disease that can occur in the early,
intermediate and late postoperative period.
Imaging findings OR procedure details
Size mismatch between donor lung and recipient thoracic cage may induce this problem.
Size differences within 25% have been reported as acceptable.
Too large donor lung may induce atelectasis and impaired ventilation,
and too small donor lung may lead to graft hyperexpansion.
The large graft may be reduced intraoperatively for size matching.
2> Airway complications
Airway complications are mostly due to donor bronchus ischemia,
caused by disruption of native bronchial circulation.
Bronchial dehiscence : Bronchial dehiscence is the most common airway complication...
Radiology plays an important role in the early diagnosis and management of complications of lung transplantation.
Radiologists must be able to understand the imaging findings of common surgical techniques and complications of lung transplantation.
AJR 2009; 192:S1-S13.
Yuen Li Nget al.
AJR 2008; 191:1046-1056.
MDCT Evaluation of Central Airway and Vascular Complications ofLungTransplantation.
Gill et al.
RadioGraphics 2007; 27:957–974.
Postoperative Complications of Lung Transplantation: Radiologic Findings along a Time Continuum.
Krishnam MS et al.
AJR 2008; 191:1046–1056.
MDCT Evaluation of Central Airway and Vascular Complications of Lung Transplantation.
Gill RR et al.
Radiology 2001; 221:207–212.
Acute rejection following lung transplantation: limitations in accuracy of thin-section CT for diagnosis....