TY - JOUR
T1 - Early lung retransplantation in a patient affected by cystic fibrosis correlated with donor cause of death
T2 - A case report
AU - Tosi, D.
AU - Mendogni, P.
AU - Rosso, L.
AU - Palleschi, A.
AU - Filippi, N.
AU - Reda, M.
AU - Santambrogio, L.
AU - Nosotti, M.
PY - 2012/9
Y1 - 2012/9
N2 - The relationship between donor cause of death and lung transplantation outcomes remains unclear. We report a case of lung transplantation in a young patient affected by cystic fibrosis. Immediately after lung reperfusion a pulmonary hypertension was observed that was intractable with maximal medical therapy requiring surgical resection of the left lower lobe which became congested after a few days. The donor had died from suicidal hanging; the authors attributed the posttransplantation pulmonary hypertension which is an uncommon form of primary graft dysfunction to this cause of death. The patient was treated with early bilateral lung retransplantation which required a long, troublesome hospital stay. In conclusion, the authors warn against the use of lungs from donors who die due to hanging even when the gas exchanges were ideal.
AB - The relationship between donor cause of death and lung transplantation outcomes remains unclear. We report a case of lung transplantation in a young patient affected by cystic fibrosis. Immediately after lung reperfusion a pulmonary hypertension was observed that was intractable with maximal medical therapy requiring surgical resection of the left lower lobe which became congested after a few days. The donor had died from suicidal hanging; the authors attributed the posttransplantation pulmonary hypertension which is an uncommon form of primary graft dysfunction to this cause of death. The patient was treated with early bilateral lung retransplantation which required a long, troublesome hospital stay. In conclusion, the authors warn against the use of lungs from donors who die due to hanging even when the gas exchanges were ideal.
UR - http://www.scopus.com/inward/record.url?scp=84866337565&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84866337565&partnerID=8YFLogxK
U2 - 10.1016/j.transproceed.2012.06.025
DO - 10.1016/j.transproceed.2012.06.025
M3 - Article
C2 - 22974903
AN - SCOPUS:84866337565
VL - 44
SP - 2041
EP - 2042
JO - Transplantation Proceedings
JF - Transplantation Proceedings
SN - 0041-1345
IS - 7
ER -