Successful bilateral lung transplantation after prolonged ECMO support for aspiration pneumonia in a 79-year-old man.

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-02-01 Epub Date: 2024-05-29 DOI:10.1007/s12055-024-01749-y
Sureshkumaran Kandasami, Komarakshi Rajagopalan Balakrishnan, Suresh Rao Kemundel Genny, Murali Krishna Tanguturu, Senthil Kumar Devarajan, Deepika Ramachandran, Soumitra Sinha Roy, Apar Jindal
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Abstract

Aspiration pneumonia is a serious problem in the elderly due to weakened swallowing reflexes or underlying gastroesophageal reflux disease (GERD). This can lead to acute respiratory distress syndrome (ARDS), which can become life-threatening, sometimes requiring extra corporeal membrane oxygenation (ECMO) support. Lung transplantation is a possible therapeutic option for patients with no signs of lung recovery despite prolonged ECMO support. However, this can be a particularly challenging situation in a geriatric population. We report the case of a 79-year-old male with aspiration pneumonia leading to severe ARDS who underwent successful bilateral lung transplantation after 60 days of ECMO support.

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吸入性肺炎是老年人的一个严重问题,由于吞咽反射减弱或潜在的胃食管反流疾病(GERD)。这可能导致急性呼吸窘迫综合征(ARDS),这可能危及生命,有时需要体外膜氧合(ECMO)支持。肺移植是一个可能的治疗选择,尽管长期ECMO支持没有肺恢复的迹象。然而,在老年人群中,这可能是一个特别具有挑战性的情况。我们报告一例79岁男性吸入性肺炎导致严重ARDS患者,在ECMO支持60天后成功接受双侧肺移植。
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来源期刊
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.20
自引率
14.30%
发文量
141
期刊介绍: The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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