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World J Radiol. Dec 28, 2017; 9(12): 438-447
Published online Dec 28, 2017. doi: 10.4329/wjr.v9.i12.438
Imaging features of intrathoracic complications of lung transplantation: What the radiologists need to know
Elisa Chia, Simeon Niyi Babawale
Elisa Chia, Simeon Niyi Babawale, Department of Radiology, Royal Perth Hospital, Wellington Street Campus, Perth, WA 6001, Australia
Author contributions: Chia E collated imaging used in the manuscript after obtaining consent from the patients and contributed to the drafting and editing of the manuscript; Babawale SN contributed to the writing of the manuscript, manuscript editing and review of the imaging.
Conflict-of-interest statement: No conflicts of interest were noted in the making of this manuscript. There is no financial support or relationships associated with the authors of this work that may pose a conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Elisa Chia, MBBS, Department of Radiology, Royal Perth Hospital, Wellington Street Campus, GPO Box X2213, Perth, WA 6001, Australia. elisa.chia@health.wa.gov.au
Telephone: +61-08-92242244 Fax: +61-08-92242912
Received: July 2, 2017
Peer-review started: July 3, 2017
First decision: August 7, 2017
Revised: October 20, 2017
Accepted: November 8, 2017
Article in press: November 8, 2017
Published online: December 28, 2017
Abstract

Lung transplantation has been a method for treating end stage lung disease for decades. Despite improvements in the preoperative assessment of recipients and donors as well as improved surgical techniques, lung transplant recipients are still at a high risk of developing post-operative complications which tend to impact negatively the patients’ outcome if not recognised early. The recognised complications post lung transplantation can be broadly categorised into acute and chronic complications. Recognising the radiological features of these complications has a significant positive impact on patients’ survival post transplantation. This manuscript provides a comprehensive review of the radiological features of post lung transplantations complications over a time continuum.

Keywords: Lung transplantation, Post-surgical features of lung transplantation, Complication of lung transplantation, Imaging features, Early and late complications

Core tip: Lung transplantation is a common method of treating end stage lung disease. However, despite advances in surgical techniques, complications are still common and can occur years after lung transplantation. Radiological imaging plays an essential role in characterising many post-transplantation complications. It is crucial for radiologists to identify early signs of common complications on imaging to ensure that appropriate treatments are instituted early.