Voltolini Luca, Luzzi Luca, Paladini Piero, Biagioli Bonizella, Rottoli Paola, Gotti Giuseppe
Thoracic Surgery Unit, University Hospital of Siena, Siena, Italy.
Ann Thorac Surg. 2005 Dec;80(6):2349-51. doi: 10.1016/j.athoracsur.2004.07.089.
Left single lung transplantation in a 33-year-old woman affected by end-stage lymphangioleiomyomatosis was complicated by spontaneous and diffuse bleeding from the right lung at the end of the procedure. The right lung was completely deteriorated and the only option to stop the bleeding was a right pneumonectomy. At 14 months after transplantation, the single allograft showed good lung function with acceptable volumes. Single lung transplant and contralateral pneumonectomy can be considered a safe procedure in case of complications related to native lung either in case of lymphangioleiomyomatosis than for other lung diseases (emphysema, cystic fibrosis).
一名33岁患有终末期淋巴管平滑肌瘤病的女性接受了左侧单肺移植，手术结束时出现右肺自发性弥漫性出血，导致手术复杂化。右肺已完全恶化，唯一能止血的办法是进行右肺切除术。移植后14个月，单肺移植显示肺功能良好，肺容积可接受。对于淋巴管平滑肌瘤病以及其他肺部疾病（肺气肿、囊性纤维化），若出现与患侧肺相关的并发症，单肺移植和对侧肺切除术可被视为一种安全的手术方式。
