Contralateral lung transplantation: A left lung implanted in the right thorax
Contralateral lung transplantation: A left lung implanted in the right thorax
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DOI：
10.1016/s0003-4975(01)02394-3
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发表时间：
2001-09-01
影响因子：
4.6
通讯作者：
Carpentier, AF
中科院分区：
文献类型：
--
作者：
Couetil, JP;Argyriadis, PG;Carpentier, AF
自1982年开始进行肺移植以来，在受体的同侧植入供体肺一直是标准的做法。肺叶和双侧肺叶移植技术的发展表明肺形态可以适应胸腔的形状。因此，植入的变化成为可能。我们描述了一个病例30岁的男子严重支气管扩张，由于纤毛运动障碍，需要左下肺叶切除术在11岁和左侧全肺切除术10年后。他的病情恶化了，他被列入了右肺移植的名单。移植时，供体右肺水肿，不适合移植。这需要将供体的左肺移植到受体的右胸。随访7年显示良好的运动能力和良好的功能测试，无排斥反应。(C) 2001年由胸外科学会发布。
Since the inception of lung transplantation in 1982, it has been standard practice to implant donor lungs on the ipsilateral side in the recipient. The development of the techniques of lobar and bilateral lobar transplantation has shown that lung morphology may adapt to the shape of the thorax. Thus, variations in implantation have become possible. We describe a case of a 30-year-old man with severe bronchiectasis due to ciliary dyskinesis which required a left lower lobectomy at the age of 11 years and a left completion pneumonectomy 10 years later. His disease progressed and he was listed for a right lung transplantation. At the time of transplantation, the donor right lung was noted to be edematous and unfit for transplantation. This required grafting the donor left lung in the right thorax of the recipient. Follow-up at 7 years shows good exercise capacity and excellent functional tests without evidence of rejection. (C) 2001 by the Society of Thoracic Surgeons.