Long-term follow-up of living-donor single-lobe lung transplantation for bronchiolitis obliterans in a four-year-old male: improvement of over-sized lung allograft
Open Access
- 1 June 2011
- journal article
- case report
- Published by Oxford University Press (OUP) in Interactive CardioVascular and Thoracic Surgery
- Vol. 13 (1), 114-116
- https://doi.org/10.1510/icvts.2010.249870
Abstract
We report a long-term outcome of extremely oversized lung allograft. A left lower lobe transplantation from an adult donor was performed on a four-year-old recipient after left pneumonectomy. Lobar lung allograft volume was calculated to be approximately 180% of the recipient’s predicted left thoracic capacity. Accordingly, the lung allograft was compressed to 47% of its original size immediately after transplantation. Initial postoperative functional recovery of the allograft was excellent despite this severe compression. As the patient grew physically, both his forced expiratory volume in 1 s (FEV1) and his left lung volume increased slowly but steadily during an observation period of two years and four months after transplantation.Keywords
This publication has 4 references indexed in Scilit:
- Living-donor single-lobe lung transplantation for bronchiolitis obliterans in a 4-year-old boyThe Journal of Thoracic and Cardiovascular Surgery, 2007
- The Volume of Lung Parenchyma as a Function of Age: A Review of 1050 Normal CT Scans of the Chest With Three-Dimensional Volumetric Reconstruction of the Pulmonary SystemSpine, 2004
- Experimental study of oversized grafts in a canine living-donor lobar lung transplantation modelThe Journal of Heart and Lung Transplantation, 2001
- Use of over-sized mature pulmonary lower lobe grafts results in superior pulmonary functionThe Annals of Thoracic Surgery, 1997