Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Case Report on Redo Lung Transplantation for Treating Chronic Pulmonary Graft Rejection

폐 재이식 증례 보고; 폐이식 만성거부 반응의 치료

  • Haam, Seok-Jin (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Paik, Hyo-Chae (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Doo-Yun (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lim, Beom-Jin (Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Kwan-Wook (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yu, Woo-Sik (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 함석진 (연세대학교 의과대학 강남세브란스병원 흉부외과학교실) ;
  • 백효채 (연세대학교 의과대학 강남세브란스병원 흉부외과학교실) ;
  • 이두연 (연세대학교 의과대학 강남세브란스병원 흉부외과학교실) ;
  • 임범진 (연세대학교 의과대학 강남세브란스병원 병리학교실) ;
  • 김관욱 (연세대학교 의과대학 강남세브란스병원 흉부외과학교실) ;
  • 유우식 (연세대학교 의과대학 강남세브란스병원 흉부외과학교실)
  • Received : 2010.05.04
  • Accepted : 2010.09.26
  • Published : 2010.12.05
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Abstract

A 43 year-old female, who underwent bilateral lung transplantation for Eisenmenger syndrome 10 years previously, visited our hospital complaining of progressive severe dyspnea. She was diagnosed as having. bronchiolitis obliterans syndrome, which was presumably caused by chronic graft rejection following lung transplantation. Due to the aggravated dyspnea despite medical treatment, she required ventilator care and then she underwent lung retransplantation. We report here on a case of lung retransplantation for treating chronic graft rejection following the previous lung transplantation for the first time in Korea.

약 10년전 아이젠멩거 증후군으로 양측 폐이식을 시행받은 43세 여자 환자가 서서히 진행되는 호흡 곤란을 주소로 내원하였다. 환자는 폐이식 후 발생하는 만성거부반응인 폐쇄세기관지염 증후군으로 진단받고 경과 관찰 하였으나 내과적 치료에도 반응이 없이 계속 악화되어 인공 호홉기에 의존하는 상태에서 재폐이식 수술을 시행 받았다. 저자들은 폐이식 후 만성거부반응을 보이는 환자에서 국내 최초로 재폐이식을 시행하였기에 보고하는 바이다.

Keywords

References

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