Isaac Daimiel MD, Presenter: Nothing to Disclose

Gerardo Ayala Calvo, Abstract Co-Author: Nothing to Disclose

Sergio Alonso Charterina MD, Abstract Co-Author: Nothing to Disclose

- To review the main complications of pulmonary transplantation surgery depending on the time passed after the procedure. - To illustrate radiological appearance of these complications and correlate them with clinical findings.

Nowadays lung transplantation is suggested as the best option of treatment for end stage pulmonary conditions such as idiopathic pulmonary fibrosis, chronic obstructive pulmonary disease, cystic fibrosis or pulmonary hypertension. The increasing survival in these patients is related to better immunosuppressive therapies, donor organ preservation and the improvement of surgical technique. Nevertheless, this is still susceptible to complications that must be detected early. Depending on elapsed time after surgery different complications should be considered. Acute conditions are within two months after surgical procedure and include pleural complications, reperfusion edema, acute rejection and bronchial anastomosis dysfunction. After 2 months, we will consider entities such as cryptogenic organizing pneumonia, posttransplantation lymphoproliferative disorder, progressive upper lobe fibrosis or chronic lung allograft dysfunction. Events related to immunosuppressive therapy like infections, recurrence of primary disease or pulmonary embolism can occur at anytime in the postoperative period.

http://abstract.rsna.org/uploads/2014/14008506/14008506_gqhb.pdf

Daimiel, I, Ayala Calvo, G, Alonso Charterina, S, What Could Happen after Lung Transplantation: Complications That Radiologists Should Know.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008506.html