{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:53:53Z","timestamp":1740174833339,"version":"3.37.3"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Lung transplantation is a vital option for patients with end-stage lung disease. However, it faces a significant challenge due to the shortage of compatible donors, which particularly affects individuals with small chest cavities and pediatric patients. The novel approach of cadaveric lobar lung transplantation is a promising solution to alleviate the donor shortage crisis. Both the mid-term and long-term outcomes of lobar lung transplantation are comparable to those of standard lung transplantation. However, patients undergoing lobar lung transplantation reported a significantly higher rate of primary graft dysfunction compared to patients undergoing standard lung transplantation. Therefore, careful donor selection is critical to improve outcomes after lobar transplantation. However, no established method exists to evaluate each lung lobar graft of deceased donors.\u00a0This case report describes a case of cadaveric lobar lung transplantation to overcome size mismatch and donor shortage, with particular emphasis on lobar graft evaluation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 39-year-old woman with scleroderma-related respiratory failure was listed for deceased donor lung transplantation due to a rapidly progressing disease. Faced with a long waiting list and impending mortality, she underwent bilateral living-donor lobar lung transplantation donated by her relatives. Post-transplant complications included progressive pulmonary vein obstruction and pleural effusion, which ultimately required retransplantation. An oversized donor with pneumonia in the bilateral lower lobes was allocated. Lung ultrasound was used to evaluate each lung lobar graft during procurement. The right upper and middle lobes and left upper lobe were confirmed to be transplantable, and lobar lung redo transplantation was performed. The patient\u2019s post-transplant course was uneventful, and she was discharged home and returned to her daily activities.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case highlights the clinical impact of cadaveric lobar lung transplantation as a feasible and effective strategy to overcome the shortage of donor lungs, especially in patients with small thoracic cavities. By establishing donor lung evaluation techniques and overcoming anatomical and logistical challenges, cadaveric lobar lung transplantation can significantly expand the donor pool and offer hope to those previously considered ineligible for transplantation.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-02046-x","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T05:02:19Z","timestamp":1729659739000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lobar graft evaluation in cadaveric lobar lung redo transplantation after living-donor lobar lung transplantation: a case report"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0155-8754","authenticated-orcid":false,"given":"Yui","family":"Watanabe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuaki","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hirama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Murai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Ueda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisashi","family":"Oishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miki","family":"Akiba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshikazu","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaya","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotsugu","family":"Notsuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Onodera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeo","family":"Togo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromichi","family":"Niikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Noda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinori","family":"Okada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,23]]},"reference":[{"key":"2046_CR1","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.healun.2016.10.007","volume":"36","author":"TS Lancaster","year":"2017","unstructured":"Lancaster TS, Miller JR, Epstein DJ, DuPont NC, Sweet SC, Eghtesady P. Improved waitlist and transplant outcomes for pediatric lung transplantation after implementation of the lung allocation score. J Heart Lung Transplant. 2017;36:520\u20138.","journal-title":"J Heart Lung Transplant"},{"key":"2046_CR2","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1053\/j.semtcvs.2018.04.007","volume":"30","author":"TS Lancaster","year":"2018","unstructured":"Lancaster TS, Eghtesady P. State of the art in pediatric lung transplantation. Semin Thorac Cardiovasc Surg. 2018;30:166\u201374.","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2046_CR3","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1016\/S0022-5223(94)70249-7","volume":"108","author":"VA Starnes","year":"1994","unstructured":"Starnes VA, Barr ML, Cohen RG. Lobar transplantation. Indications, technique, and outcome. J Thorac Cardiovasc Surg. 1994;108:403\u201311.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2046_CR4","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.jtcvs.2003.07.042","volume":"127","author":"VA Starnes","year":"2004","unstructured":"Starnes VA, Bowdish ME, Woo MS, Barbers RG, Schenkel FA, Horn MV, et al. A decade of living lobar lung transplantation: recipient outcomes. J Thorac Cardiovasc Surg. 2004;127:114\u201322.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2046_CR5","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1007\/s11748-014-0418-6","volume":"62","author":"M Sato","year":"2014","unstructured":"Sato M, Okada Y, Oto T, Minami M, Shiraishi T, Nagayasu T, Japanese Society of Lung and Heart-Lung Transplantation, et al. Registry of the Japanese Society of Lung and Heart-Lung Transplantation: official Japanese lung transplantation report, 2014. Gen Thorac Cardiovasc Surg. 2014;62:594\u2013601.","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2046_CR6","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1093\/ejcts\/ezs541","volume":"43","author":"I Inci","year":"2013","unstructured":"Inci I, Schuurmans MM, Kestenholz P, Schneiter D, Hillinger S, Opitz I, et al. Long-term outcomes of bilateral lobar lung transplantation. Eur J Cardiothorac Surg. 2013;43:1220\u20135.","journal-title":"Eur J Cardiothorac Surg"},{"key":"2046_CR7","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1093\/ejcts\/ezt353","volume":"45","author":"D Mitilian","year":"2014","unstructured":"Mitilian D, Sage E, Puyo P, Bonnette P, Parquin F, Stern M, et al. Techniques and results of lobar lung transplantations. Eur J Cardiothorac Surg. 2014;45:365\u20139.","journal-title":"Eur J Cardiothorac Surg"},{"key":"2046_CR8","doi-asserted-by":"publisher","first-page":"1674","DOI":"10.1016\/j.jtcvs.2020.04.166","volume":"161","author":"JL Campo-Canaveral De La Cruz","year":"2021","unstructured":"Campo-Canaveral De La Cruz JL, Dunne B, Lemaitre P, Rackauskas M, Pozniak J, Watanabe Y, et al. Deceased-donor lobar lung transplant: a successful strategy for small-sized recipients. J Thorac Cardiovasc Surg. 2021;161:1674\u201385.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2046_CR9","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1016\/j.jtcvs.2020.01.098","volume":"160","author":"N Masaki","year":"2020","unstructured":"Masaki N, Adachi O, Katahira S, Saiki Y, Horii A, Kawamoto S, et al. Progression of vascular remodeling in pulmonary vein obstruction. J Thorac Cardiovasc Surg. 2020;160:777\u201390.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2046_CR10","doi-asserted-by":"publisher","first-page":"181","DOI":"10.21037\/atm-20-3972","volume":"9","author":"L Jing","year":"2021","unstructured":"Jing L, Chen W, Zhai Z, Pan X, Tao X, Cao L, Zhao L, Guo L, Liang C, Chen J, Wang C. Pulmonary vein stenosis after lung transplantation: a case report and literature review. Ann Transl Med. 2021;9:181.","journal-title":"Ann Transl Med"},{"key":"2046_CR11","first-page":"383","volume":"39","author":"E Sasaki","year":"2001","unstructured":"Sasaki E, Nakamura M, Kida K, Kambe M, Takahashi K, et al. Reference values for spirogram and blood gas analysis in Japanese non-smoking healthy adults. J Jpn Respir Soc. 2001;39:383\u201399.","journal-title":"J Jpn Respir Soc"},{"key":"2046_CR12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0233804","volume":"15","author":"H Oishi","year":"2020","unstructured":"Oishi H, Noda M, Sado T, Matsuda Y, Niikawa H, Watanabe T, Sakurada A, Hoshikawa Y, Okada Y. Ex vivo lung CT findings may predict the outcome of the early phase after lung transplantation. PLoS ONE. 2020;15: e0233804.","journal-title":"PLoS ONE"},{"key":"2046_CR13","unstructured":"Watanabe Y, Murai S, Ueda K, Watanabe T, Hirama T, Oishi H, et al. A straightforward guide to the swine left upper lobar transplant model: procedures and techniques. Multimed Man Cardiothorac Surg. 2023."},{"key":"2046_CR14","unstructured":"Murai S, Watanabe Y, Ueda K, Watanabe T, Hirama T, Oishi H, et al. Lung ultrasound is a useful method for grafts evaluation in swine lobar transplant models. Oral presented at: 31st ESTS MEETING; June 4\u20136, 2023; Milano, Italy. https:\/\/emma.events\/static\/upload\/ow76\/events\/ev453\/Site\/files\/BoA-ESTS-2023-17-5-def.pdf. Accessed 16 Aug 2024."},{"key":"2046_CR15","doi-asserted-by":"publisher","first-page":"1514","DOI":"10.1016\/S0003-4975(98)00952-7","volume":"66","author":"CA Caldarone","year":"1998","unstructured":"Caldarone CA, Najm HK, Kadletz M, Smallhorn JF, Freedom RM, Williams WG, et al. Relentless pulmonary vein stenosis after repair of total anomalous pulmonary venous drainage. Ann Thorac Surg. 1998;66:1514\u201320.","journal-title":"Ann Thorac Surg"},{"key":"2046_CR16","doi-asserted-by":"publisher","first-page":"121","DOI":"10.5761\/atcs.oa.21-00111","volume":"28","author":"N Yoshiyasu","year":"2022","unstructured":"Yoshiyasu N, Kojima F, Takahara H, Bando T. Efficacy of the segment-counting method in predicting lung function and volume following stapler-based thoracoscopic segmentectomy. Ann Thorac Cardiovasc Surg. 2022;28:121\u20138.","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2046_CR17","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1016\/j.jtcvs.2017.10.150","volume":"156","author":"H Kayawake","year":"2018","unstructured":"Kayawake H, Chen-Yoshikawa TF, Aoyama A, Motoyama H, Hamaji M, Hijiya K, et al. Surgical management of bronchial stumps in lobar lung transplantation. J Thorac Cardiovasc Surg. 2018;156:451\u201360.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2046_CR18","doi-asserted-by":"publisher","first-page":"658","DOI":"10.1053\/j.optechstcvs.2021.10.003","volume":"26","author":"L Donahoe","year":"2021","unstructured":"Donahoe L, Cypel M. Lobar lung transplantation. Oper Tech Thorac Cardiovasc Surg. 2021;26:658\u201368.","journal-title":"Oper Tech Thorac Cardiovasc Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02046-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-02046-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02046-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T05:03:12Z","timestamp":1729659792000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-02046-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,23]]},"references-count":18,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2046"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-02046-x","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,10,23]]},"assertion":[{"value":"7 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of our institution and the utilization of donor data was approved by the Japan Organ Transplant Network Ethics Committee (approval number 27). Conforms with the ethical standards laid down in the Declaration of Helsinki (as revised in Brazil 2013).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient provided informed consent prior to their inclusion in the case report. Consent for the utilization of donor data was obtained by the Japan Organ Transplant Network.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests associated with this manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"238"}}