Susaki Yoshiyuki, Inoue Masayoshi, Minami Masato, Shintani Yasushi, Nakagiri Tomoyuki, Sawabata Noriyoshi, Okumura Meinoshin
Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, L5-2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Gen Thorac Cardiovasc Surg. 2012 May;60(5):312-5. doi: 10.1007/s11748-011-0824-y. Epub 2012 Mar 28.
Because the number of ideal brain-dead donors is limited, active use of marginal donors is currently one of the major issues discussed in regard to lung transplantation. We report a case in which the patient underwent single-lung transplantation for chronic pulmonary emphysema. The lung came from a marginal, ABO blood group nonidentical, compatible donor. Because the donor was marginal (pneumonia in the right lung and lobar atelectasis in both lungs), all recipient candidates with ABO blood group identical declined. Thus, a nonidentical, compatible recipient had a chance to receive a lung transplant. This 49-year-old man underwent single-lung transplantation for chronic pulmonary emphysema with severe respiratory failure. He had a good postoperative clinical course.
由于理想的脑死亡供体数量有限，目前积极使用边缘供体是肺移植领域讨论的主要问题之一。我们报告一例患者因慢性肺气肿接受单肺移植的病例。该肺来自一名边缘性、ABO血型不匹配但相容的供体。由于供体为边缘性（右肺肺炎，双肺叶性肺不张），所有ABO血型相同的受体候选者均拒绝接受。因此，一名血型不匹配但相容的受体有机会接受肺移植。这名49岁男性因慢性肺气肿伴严重呼吸衰竭接受了单肺移植。术后临床过程良好。
