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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Related Experiment Video

Updated: Aug 2, 2025

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
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Primary graft dysfunction after lung transplantation.

Mallory L Hunt1, Edward Cantu

  • 1Division of Cardiovascular Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Current Opinion in Organ Transplantation
|April 13, 2023
PubMed
Summary
This summary is machine-generated.

Primary graft dysfunction (PGD) after lung transplantation involves lung injury and inflammation. Research identifies risk factors and supportive care, including ECMO, to manage PGD and improve outcomes.

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Area of Science:

  • Pulmonology
  • Transplantation immunology
  • Critical care medicine

Background:

  • Primary graft dysfunction (PGD) is a major complication following lung transplantation, occurring within 72 hours.
  • It is characterized by hypoxemia and alveolar infiltrates, stemming from ischemia-reperfusion injury.
  • PGD involves a complex interaction of donor/recipient immunity and acute inflammation, leading to alveolar cell damage.

Conclusions:

  • Understanding PGD pathogenesis is key to developing effective mitigation strategies.
  • Multifactorial risk assessment and tailored supportive care are essential.
  • Emerging technologies like EVLP warrant further investigation for their role in improving lung transplant outcomes.