Single-lung transplantation in a patient with cystic fibrosis and an asymmetric thorax
| Autor: | Terence J. Donovan, Hans R. Zerkowski, Felix Ratjen, Fred Splittgerber, Jarowit Piotrowski |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Pulmonary and Respiratory Medicine
Thorax Male medicine.medical_specialty Cystic Fibrosis medicine.medical_treatment Cystic fibrosis Pneumonectomy medicine Lung transplantation Humans Lung volumes Kyphosis Child Kyphoscoliosis Lung business.industry medicine.disease Surgery Transplantation medicine.anatomical_structure Scoliosis Reperfusion Injury Cardiology and Cardiovascular Medicine business Lung Transplantation |
| Zdroj: | The Annals of thoracic surgery. 64(5) |
| ISSN: | 0003-4975 |
| Popis: | We report metachronous single-lung transplantation for cystic fibrosis after contralateral pneumonectomy. Kyphoscoliosis and mediastinal shift required careful donor-lung sizing with computed tomography and was not dependent on typical parameters. Severe reperfusion injury was treated with nitric oxide, C1-esterase inhibitor, and continuous venovenous hemodialysis. The patient was extubated on the fifth postoperative day and is alive and well. We conclude that single-lung transplantation after contralateral pneumonectomy for patients with cystic fibrosis and an asymmetric chest and evident lung volume mismatch may be an acceptable functional therapeutic option. |
| Databáze: | OpenAIRE |
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