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Lung transplantation for Kartagener syndrome: technical aspects and morphological adaptation of the transplanted lungs

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Abstract

While technical considerations in lung transplantation for Kartagener syndrome have been discussed, little information is available about the postoperative morphological changes of the grafted lungs. Herein, we discuss both the technical aspects and postoperative morphological adaptation of the grafted lungs in a case of Kartagener syndrome. A 46-year-old male patient with Kartagener syndrome underwent bilateral cadaveric lung transplantation. The right arterial anastomosis for transplantation of the size-matched grafts required technical elaboration. After the transplantation, we found a free space in the cardiac notch of the left lung and partial collapse of the lower lobe of the right lung due to dextrocardia. Follow-up computed tomography performed on day 42 after the transplantation demonstrated resolution of the atelectasis and morphological adaptation of the grafts into the recipient’s chest cavity with dextrocardia. Considering such early morphological adaptation of size-matched grafts, lobar reduction could be avoided in lung transplantation for Kartagener syndrome.

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Abbreviations

CT:

Computed tomography

CPB:

Cardiopulmonary bypass

KS:

Kartagener syndrome

LT:

Lung transplantation

PA:

Pulmonary artery

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Funding

This work was supported by a Grant-in-Aid for Scientific Research (Grant No. 19K09305) from the Japan Society for the Promotion of Science.

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Authors and Affiliations

  1. Department of General Thoracic Surgery and Organ Transplant Center, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan

    Haruchika Yamamoto, Seiichiro Sugimoto, Kentaroh Miyoshi, Shinji Otani, Masaomi Yamane & Shinichi Toyooka

Authors
  1. Haruchika Yamamoto
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  2. Seiichiro Sugimoto
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  3. Kentaroh Miyoshi
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  4. Shinji Otani
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  5. Masaomi Yamane
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  6. Shinichi Toyooka
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Correspondence to Seiichiro Sugimoto.

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Haruchika Yamamoto and other co-authors have no conflict of interest.

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Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

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Yamamoto, H., Sugimoto, S., Miyoshi, K. et al. Lung transplantation for Kartagener syndrome: technical aspects and morphological adaptation of the transplanted lungs. Gen Thorac Cardiovasc Surg 69, 588–592 (2021). https://doi.org/10.1007/s11748-020-01509-w

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  • DOI: https://doi.org/10.1007/s11748-020-01509-w

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