مقاله انگلیسی پیوند تک ریه موفق برای طرف غالب
Abstract
Case
Discussion
References
ABSTRACT
Although single-lung transplant on the side with better lung function is challenging in patients with significantly asymmetrical lung function between the right and left sides, it sometimes can be a realistic option because of the recipient’s condition and from the viewpoint of organ sharing. We report our experience with a successful case of single-lung transplant on the side with a pulmonary perfusion ratio of 89%. The transplant was performed with the patient under central venoarterial extracorporeal membrane oxygenation through a clamshell incision, and the patient had an acceptable short- and long-term outcome with a remarkable improvement of lung function. although bilateral lung transplant (BLT) has become a major procedure in the International Thoracic Organ Transplant Registry on the basis of its greater rate of survival [1], single-lung transplant (SLT) is a procedure of choice with a priority in Japan, which is facing an extremely severe donor organ shortage [2]. In patients with significantly asymmetrical lung function between the right and left sides, SLT in the side with lower function is usually preferred in consideration of the infrequent need for extracorporeal membrane oxygenation (ECMO) and the probable advantage in postoperative lung function .