G. Massard et al., HEMODILUTION IS AN EFFECTIVE TREATMENT FOR REPERFUSION EDEMA AFTER LUNG TRANSPLANTATION, The thoracic and cardiovascular surgeon, 43(5), 1995, pp. 293-295
A 38-year-old patient underwent left single-lung transplantation for e
nd-stage histiocytosis with secundary pulmonary hypertension and polyc
ythemia. Despite use of an optimal lung graft and a total ischemia lim
ited to 250 minutes, major pulmonary edema developed postoperatively.
Hemodilution resulted in a quick recovery of lung function. We specula
te that blood hyperviscosity was a major factor of pulmonary edema in
this patient.