Pulmonary Function and Exercise Capacity in Patients With Flat Chests After Lung Transplantation

Miyoshi, Ryo; Chen‐Yoshikawa, Toyofumi F.; Takahagi, A.; Oshima, Yasuhiro; Hijiya, Kyoko; Motoyama, Hideki; Aoyama, Akihiro; Date, Hiroshi

doi:10.1016/j.athoracsur.2017.06.023

Cited by 7 publications

(2 citation statements)

References 22 publications

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“…Conditions like severe scoliosis and asymmetry of the chest are difficult to handle, and these patients are usually declined for transplantation [6]. Patients with a flattened chest, as is commonly observed in those with pleuroparenchymal fibroelastosis and in pediatric patients with developmental shortcomings due to the underlying disease, can however be successfully transplanted [3]. Even though postoperative lung function is reduced in these patients, a remodeling of the chest cavity takes place, leading to acceptable outcomes without any corrective chest wall procedures.…”

Section: Commentmentioning

confidence: 99%

“…Successful repair is possible in 90% to 97% of patients [1,2]. Although patients with a flat chest are commonly transplanted and even a series of living donor lobar transplantation is described [3], the likelihood of a patient with severe uncorrected pectus excavatum presenting for lung transplantation is low. To the best of our knowledge no case of lung transplantation with simultaneous pectus correction has been published in the literature before.…”

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confidence: 99%

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Bilateral Lung Transplantation and Simultaneous Pectus Excavatum Correction Using the Nuss Technique

Valdivia

Kamler

Aigner

2019

The Annals of Thoracic Surgery

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Section: Commentmentioning

confidence: 99%

mentioning

confidence: 99%

Bilateral Lung Transplantation and Simultaneous Pectus Excavatum Correction Using the Nuss Technique

Valdivia

Kamler

Aigner

2019

The Annals of Thoracic Surgery

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Outcomes of lung transplantation for idiopathic pleuroparenchymal fibroelastosis

et al. 2021

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Three-dimensional image in lung transplantation

Chen‐Yoshikawa

Date

2017

Gen Thorac Cardiovasc Surg

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Three-dimensional computed tomography (3D-CT) technologies have been developed and, recently, high-speed and high-quality 3D-CT technologies have been introduced to the field of thoracic surgery. The purpose of this manuscript is to demonstrate the clinical application of 3D-CT technologies in lung transplantation. In Japan, because of the severe donor shortage, living-donor lobar lung transplantation (LDLLT) is essential, in addition to cadaveric lung transplantation. In LDLLT, size matching is a grave issue, since ideal size matching between donor and recipient is usually difficult because of the limited population of potential donor. Size matching using pulmonary function test results has been widely used as a gold standard, but anatomical size matching using 3D-CT volumetry data has also been utilized in LDLLT. In donor lobectomy, 3D-CT images provided a variety of information regarding anatomical variation of pulmonary vessels and bronchial trees preoperatively. These images ensure surgical quality and safety, and they also affect surgical procedures for the recipient. 3D-CT images are also utilized in various aspects of postoperative care, such as detection of chronic lung allograft dysfunction and clarification of its subtypes. Furthermore, preoperative 3D-CT simulation is useful in developing and performing a special surgical procedure, such as right-to-left inverted LDLLT. In conclusion, following the introduction of 3D-CT to the field of thoracic surgery, various 3D-CT images and their application to preoperative simulations have been introduced in lung transplantation. In the near future, this technique will become more prevalent, and frequent use by thoracic surgeons will be seen worldwide in daily practice.

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Pulmonary Function and Exercise Capacity in Patients With Flat Chests After Lung Transplantation

Cited by 7 publications

References 22 publications

Bilateral Lung Transplantation and Simultaneous Pectus Excavatum Correction Using the Nuss Technique

Bilateral Lung Transplantation and Simultaneous Pectus Excavatum Correction Using the Nuss Technique

Outcomes of lung transplantation for idiopathic pleuroparenchymal fibroelastosis

Three-dimensional image in lung transplantation

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