Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
J Heart Lung Transplant. 2011 Mar;30(3):351-3. doi: 10.1016/j.healun.2010.10.006. Epub 2010 Dec 4.
A 44-year-old man became wheelchair-bound due to sever bronchiolitis obliterans caused by peripheral blood stem cell transplantation for acute myelogenous leukemia. His lung donors, his sister and his wife, were 17 cm shorter than him. He successfully underwent living-donor lobar lung transplantation with sparing of the bilateral native upper lobes to address the size mismatch. Ten months after the transplantation, the patient has returned to a normal lifestyle without supplemental oxygen.
一位 44 岁男性因急性髓系白血病接受外周血造血干细胞移植后发生严重的闭塞性细支气管炎而致四肢瘫痪,需依赖轮椅生活。他的肺供者分别是他的姐姐和妻子,三人身高相差 17cm。为解决供受者体型不匹配的问题,该患者成功接受了活体供者肺叶移植,双侧供者的上肺叶得以保留。移植术后 10 个月,患者已无需吸氧,回归正常生活。