The first lung retransplantation with “ECMO bridge” in the Czech Republic – case report
Authors:
R. Novysedlák 1; J. Vachtenheim Jr. 1; Z. Střížová 2; J. Šimonek 1; M. Švorcová 1; J. Havlín 1; J. Pozniak 1; J. Kolařík 1; R. Lischke 1
Authors place of work:
Národní program transplantace plic pro Českou a Slovenskou republiku, III. chirurgická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha
1; Ústav imunologie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha
2
Published in the journal:
Rozhl. Chir., 2022, roč. 101, č. 5, s. 239-243.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2022.101.5.239–243
Summary
During the last 23 years of the National Lung Transplant Program in the Czech Republic, more than 500 lung transplantations, 4 retransplantations and one lobar retransplantation have been performed. We present the case report of a female patient with cystic fibrosis who underwent her first bilateral lung transplantation in January 2020. Due to a chronic lung allograft dysfunction, the patient required ECMO support and retransplantation. For the first time in the Czech Republic, a lung retransplantation with “ECMO bridge to (re)transplantation” preoperative support was performed in April 2021. The patient was discharged 39 days after retransplantation in a stable condition. At the day 90 follow-up visit, the patient was in a generally good condition with satisfying spirometric functions.
Keywords:
Pulmonology – Cystic fibrosis – rejection – lung retransplantation – ECMO bridge – chronic lung allograft dysfunction
Zdroje
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