Use of Ex-Vivo Lung Perfusion for Planned Left Single-Lung Transplant

Aravind Krishnan MD , Elbert Heng MD , Chawannuch Ruaengsri MD , Amit Banga MD , Brandon A. Guenthart MD , Y. Joseph Woo MD , John Ward MacArthur MD
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Abstract

The donor shortage in lung transplantation is further exacerbated by the highest organ turn-down rate among all solid organ transplants. Here we present a case of planned single-lung ex-vivo lung perfusion that enabled the use of a single lung for transplantation, that otherwise may have gone unallocated. Creative management of the donor trachea enabled use of both the left and right lungs for separate recipients. Techniques like this may inspire confidence in expansion in use of ex-vivo lung perfusion and a commensurate increase in donor organ utilization for lung transplantation.
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体外肺灌注在计划左单肺移植中的应用
在所有实体器官移植中,肺移植的器官拒绝率最高,进一步加剧了供体短缺。在这里,我们提出了一个案例,计划单肺离体肺灌注,使单个肺移植的使用,否则可能没有分配。对供体气管进行创造性的管理,使左右肺分别用于不同的受者。像这样的技术可能会激发对体外肺灌注扩大使用的信心,并相应增加肺移植对供体器官的利用。
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