Immediate single lobar retransplantation for primary graft dysfunction after living-donor lobar lung transplantation: Report of a case

A 24-year-old man with cystic fibrosis underwent living-donor lobar lung transplantation (LDLLT) with grafts donated from his father, who had mild cirrhosis, and his uncle. The graft from his father failed, and retransplantation was required 44 h after LDLLT, using his sister’s left lower lobe. The...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2011-10, Vol.41 (10), p.1447-1449
Main Authors: Tagawa, Tsutomu, Yamasaki, Naoya, Tsuchiya, Tomoshi, Miyazaki, Takuro, Hara, Atsuko, Amenomori, Misato, Fujita, Hanako, Sakamoto, Noriho, Izumikawa, Koichi, Yamamoto, Yoshihiro, Kohno, Shigeru, Hayashi, Tomayoshi, Nagayasu, Takeshi
Format: Article
Language:English
Subjects:
Adult
Case Report
Cystic Fibrosis - surgery
Humans
Living Donors
Lung Transplantation - methods
Male
Medicine
Medicine & Public Health
Primary Graft Dysfunction - surgery
Reoperation - methods
Surgery
Surgical Oncology
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Summary:A 24-year-old man with cystic fibrosis underwent living-donor lobar lung transplantation (LDLLT) with grafts donated from his father, who had mild cirrhosis, and his uncle. The graft from his father failed, and retransplantation was required 44 h after LDLLT, using his sister’s left lower lobe. The retransplantation was successful; 18 months postoperatively, the recipient and all three donors are doing well. The favorable outcome was achieved owing to the complete assessment of all potential donors in advance, and the appropriate decision to perform retransplantation in a timely manner. Whether this life-saving retransplant procedure for unexpected primary graft dysfunction after LDLLT can be justified requires further experience and a longer follow-up.
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-010-4445-3