Kanaya Akihiro, Tanaka Shoma, Takagi Hidenobu, Lukovic Elvedin, Yamauchi Masanori
Department of Anesthesiology, Tohoku University Hospital, Sendai, JPN.
Department of Radiology, Tohoku University Hospital, Sendai, JPN.
Cureus. 2025 Jul 14;17(7):e87955. doi: 10.7759/cureus.87955. eCollection 2025 Jul.
Following lung transplantation, patients frequently experience dyspnea due to ischemia-reperfusion injury, pulmonary edema, vagotomy, and diaphragmatic nerve paralysis. Dynamic digital radiography (DDR), a digital radiographic imaging system, provides dynamic visualization of lung ventilation, facilitating targeted interventions. We report a case of a patient with persistent post-transplant dyspnea who exhibited significant improvement following active rehabilitation and fluid management, guided by DDR assessments. DDR may serve as a valuable tool for early post-transplant management and long-term pulmonary monitoring.
肺移植后,患者常因缺血再灌注损伤、肺水肿、迷走神经切断术和膈神经麻痹而出现呼吸困难。动态数字放射成像(DDR)是一种数字放射成像系统,可提供肺通气的动态可视化,有助于进行有针对性的干预。我们报告了一例肺移植后持续存在呼吸困难的患者,在DDR评估的指导下,通过积极康复和液体管理后症状显著改善。DDR可能是移植后早期管理和长期肺部监测的有价值工具。