Late lung retransplantation using extracorporeal membrane oxygenation as a bridge: case report

Transplant Proc. 2011 May;43(4):1198-200. doi: 10.1016/j.transproceed.2011.01.131.

Abstract

Lung retransplantation is the only therapeutic option for acute and chronic graft failure, but only a few cases have been described to have been performed with extracorporeal membrane oxygenation (ECMO) support. We describe the successful case of a 46-year-old man treated with right lung transplantation and left lung retransplantation supported by venovenous ECMO. Lung retransplantation is the only therapeutic option to treat severe primary graft dysfunction, major technical problems, and refractory chronic rejection following pulmonary transplantation. Despite a number of comprehensive studies on lung retransplantation, only a few works have addressed the use of extracorporeal membrane oxygenation (ECMO) as a bridge to the surgical reoperation. Herein we have presented a patient treated with pulmonary bilateral retransplantation subsequent to ECMO therapy for progressive deterioration of pulmonary function in single lung transplantation.

Publication types

  • Case Reports

MeSH terms

  • Chronic Disease
  • Extracorporeal Membrane Oxygenation*
  • Graft Rejection / diagnostic imaging
  • Graft Rejection / etiology
  • Graft Rejection / surgery*
  • Humans
  • Lung Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Primary Graft Dysfunction / diagnostic imaging
  • Primary Graft Dysfunction / etiology
  • Primary Graft Dysfunction / surgery*
  • Reoperation
  • Severity of Illness Index
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome