Lung Volume Reduction Surgery After Lung Transplantation for Emphysema—Chronic Obstructive Pulmonary Disease

Abstract Lung Volume Reduction Surgery (LVRS) has become a palliative treatment for patients with advanced emphysema and disabling dyspnea. After single lung transplantation in chronic obstructive pulmonary disease, LVRS may be indicated to improve graft dysfunction caused by native lung hyperinflat...

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Bibliographic Details
Published in:Transplantation proceedings 2012-09, Vol.44 (7), p.2115-2117
Main Authors: Arango, E, Espinosa, D, Illana, J, Carrasco, G, Moreno, P, Algar, F.J, Álvarez, A, Cerezo, F, Baamonde, C, Requejo, A, Redel, J, Vaquero, J, Santos, F, Salvatierra, A
Format: Article
Language:English
Subjects:
Biological and medical sciences
Emphysema - surgery
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Investigative techniques of respiratory function
Investigative techniques, diagnostic techniques (general aspects)
Lung - surgery
Lung Transplantation
Medical sciences
Pulmonary Disease, Chronic Obstructive - surgery
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
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Summary:Abstract Lung Volume Reduction Surgery (LVRS) has become a palliative treatment for patients with advanced emphysema and disabling dyspnea. After single lung transplantation in chronic obstructive pulmonary disease, LVRS may be indicated to improve graft dysfunction caused by native lung hyperinflation compressing the grafted lung. This common complication is the subject of our study, which showed LVRS to be helpful to manage this situation. We performed an observational retrospective and descriptive study using the data of 293 patients transplanted in our center between January 1996 and October 2011. Some of the patients who underwent a single lung transplantation developed native lung hyperinflation years after the transplantation, interfering with respiratory function due to graft compression.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2012.07.068