Lung retransplantation in an adult 13 years after single lobar transplant in childhood
Lung retransplantation in an adult 13 years after single lobar transplant in childhood
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成人肺再移植 13
DOI：
10.1007/s11748-016-0732-2
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Oto T
中科院分区：
文献类型：
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作者：
Sugimoto S;Otani S;Ohki T;Kurosaki T;Miyoshi K;Yamane M;Miyoshi S;Oto T
单个活体供者肺叶移植为危重患儿提供了可接受的结果;然而，随着受者的生长，将来可能需要额外的肺移植。我们描述了一个成功的情况下，肺再次移植的成年患者后，单叶肺移植在儿童。一名23岁男性在10岁时因特发性肺动脉高压行右侧单活体肺叶移植术后13年因慢性肺移植物功能障碍接受双侧尸体肺再次移植。术后过程顺利。患者在当地医院接受生长激素治疗3年，直到首次移植后发生慢性肺移植物功能障碍。对于接受单活体肺叶移植的儿童受者，应谨慎随访可能的再次移植。
Single living-donor lobar lung transplantation provides acceptable results for critically ill children; however, an additional lung transplantation may be required in the future as the recipient grows. We describe a case of successful lung retransplantation in a grown-up patient after single lobar lung transplantation in childhood. A 23-year-old man underwent bilateral cadaveric lung retransplantation for chronic lung allograft dysfunction 13 years after right single living-donor lobar transplantation for idiopathic pulmonary arterial hypertension performed at the age of 10 years. The postoperative course was uneventful. The patient had received growth hormone therapy at a local hospital for 3 years until the development of chronic lung allograft dysfunction after the initial transplantation. Pediatric recipients undergoing single living-donor lobar lung transplantation should be cautiously followed for potential retransplantation.