Complications after Lung Transplantation
Channel: Radiology Frameworks
Date: 10/10/2023

In this talk, we do a comprehensive review of complications following lung transplantation. We discuss the reasons for lung transplantation, and cover bronchial anastomotic disorders, graft rejection, and infections that can occur after transplantation. We cover imaging patterns of complications such as bronchial dehiscence, bronchiolitis obliterans syndrome, and post-transplant lymphoproliferative disorder. Specific complications like invasive aspergillosis and CMV pneumonia are also highlighted, along with their associated mortality risks. We emphasize the importance of understanding pathophysiology for making educated predictions on CT Imaging, and several teaching cases are presented to illustrate the diagnostic approach for lung transplant complications.

Some of the case images in this talk appear courtesy of Ahmed El-Sherief, MD.

Chapters:
00:00 - Introduction
02:45 - 3 Complication Categories
07:25 - Bronchial Anastomosis: Dehiscence
09:45 - Bronchial Anastomosis: Stenosis
10:40 - Bronchial Anastomosis: Bronchomalacia
11:45 - Bronchial Anastomosis: Granulation Tissue
12:46 - Graft Rejection: Primary Graft Dysfunction
15:10 - Graft Rejection: Acute Rejection
17:36 - Graft Rejection: Chronic Rejection
19:37 - Graft Rejection: Organizing Pneumonia
21:09 - Infection: Bacterial Pneumonia
22:55 - Infection: Mycobacterial Pneumonia
24:23 - Infection: CMV Pneumonia
26:19 - Infection: PTLD
27:30 - Infection: Invasive Aspergillus
30:30 - Differential Diagnosis for Bronchial Anastomotic Complication
32:43 - Differential Diagnosis for Lung Parenchymal Complications
33:52 - Differential Diagnosis if Air Space Opacities
37:14 - Differential Diagnosis if Nodules/Masses
37:33 - Differential Diagnosis if Air-Trapping
37:47 - Teaching Cases

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