Successful bilateral lung transplantation after previous pneumonectomy

Details

Serval ID
serval:BIB_E6CA62ABE997
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Successful bilateral lung transplantation after previous pneumonectomy
Title of the conference
98th Annual Congress of the Swiss Society of Surgery
Author(s)
Gonzalez M., Ris H.B., Krueger T., Ferrari E., Chollet-Rivier M., Marcucci C., Prior J.O., Jayet P.Y., Mazza-Stalder J., Aubert J.D.
Address
Geneva, Switzerland, May 25-27, 2011
ISBN
0007-1323
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
98
Series
British Journal of Surgery
Pages
21-22
Language
english
Notes
Publication type : Meeting Abstract
Abstract
Objective: To present the feasibility of bilateral lung transplantation after previously performed pneumonectomy.Methods: A 32 years old women underwent right pneumonectomy for bronchiectasis-related destroyed lung. Eight months later, she developed a vascular post-pneumonectomy syndrome and underwent realigning of the mediastinum by an intrathoracic expander that was complicated by an adult respiratory distress syndrome of the left lung requiring mechanical ventilation, arterio-venous CO2 removal (Novalung) and finally bilateral lung transplantation. Via clamshell incision, the post-pneumonectomy cavity was dissected and the superior vena cava (SVC) and carina were exposed. The pulmonary vessel stumps were dissected intrapericardically after realization of a right-sided hemi-pericardectomy. Extracorporeal circulation was started after central cannulation of the aorta and the inferior vena cava. A right upper lobe sleeve resection of the donor lung was performed. The intermediate bronchus was then implanted in the dissected recipient carina after realization of a hilar release maneuver. The right pulmonary artery was clamped between SVC andthe ascending aorta followed by end -to-end anastomosis of the donor and recipient artery and left atrial cuffs, respectively. Satisfactory graft function allowed decanulation and standard transplantation of the left lung without extracorporeal circulation.Results: Bronchoscopy and trans-esophageal echocardiography demonstrated a patent airway and vascular anastomoses without stenosis. Follow-up revealed excellent gas exchanges, no airway complications and well-functioning grafts on both sides with right-sided ventilation and perfusion two months after transplantation of 37% and 22%, respectively.Conclusion: This is to our knowledge the first report of successful bilateral lung transplantation after previous pneumonectomy unrelated to transplantation.
Keywords
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Web of science
Create date
30/05/2011 8:51
Last modification date
20/08/2019 16:09
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