Successful Bilateral Lung Retransplantation in a Patient with Primary Graft Failure Following a Single Lung Transplantation.
- Author:
Jung Joo HWANG
1
;
Hyo Chae PAIK
;
Eun Kyu JOUNG
;
Jae Ho KIM
;
Doo Yun LEE
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine, Korea. hcpaik@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Graft rejection;
Pulmonary emphysema;
Reoperation;
Lung transplantation
- MeSH:
Cardiopulmonary Bypass;
Emphysema;
Graft Rejection;
Humans;
Lung Diseases;
Lung Transplantation*;
Lung*;
Male;
Middle Aged;
Mortality;
Pulmonary Emphysema;
Reoperation;
Tracheostomy;
Transplants*;
Ventilators, Mechanical
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(6):490-494
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lung transplantation is the choice of treatment for selected patients with end-stage pulmonary disease. However, retransplantation of the lung due to primary graft failure carries a high risk of morbidity and mortality. This is a case of a 52 year old male with emphysema who continuously needed a ventilator care and a tracheostomy. He underwent a left single lung transplantation but were not able to wean from the ventilator due to primary graft failure, and therefore we decided to do a retransplantation. Bilateral sequential single lung transplantation was performed under the cardiopulmonary bypass. The patient recovered quite well and was discharged and fully active with his work. Retransplantation although it carries a high risk, is a very effective treatment in patients with primary graft failure.