García Sáez Diana, Zych Bartlomiej, Mohite Prashant N, Simon Andre R
Department of Cardiothoracic Transplantation and Mechanical Support, Harefield Hospital, Middlesex, UK.
Eur J Cardiothorac Surg. 2014 Feb;45(2):389-90. doi: 10.1093/ejcts/ezt294. Epub 2013 May 31.
We present the case of a 41-year old patient suffering from end-stage pulmonary hypertension secondary to veno-occlusive disease who underwent implantation of a veno-arterial extracorporeal membrane oxygenator as a bridge to lung transplantation (LTx) due to significant deterioration of myocardial pump and liver function. After 33 days on support, lungs with extended donor criteria were offered. Owing to the deteriorating clinical condition of the patient, the lungs were assessed using our ex vivo lung perfusion system. After reconditioning of the graft, a bilateral LTx was performed.
我们报告了一例41岁患有终末期肺动脉高压的患者，该患者继发于静脉闭塞性疾病，由于心肌泵功能和肝功能显著恶化，接受了静脉-动脉体外膜肺氧合器植入作为肺移植（LTx）的过渡治疗。在接受支持治疗33天后，获得了符合扩大标准的供肺。由于患者临床状况不断恶化，使用我们的体外肺灌注系统对供肺进行了评估。在对移植物进行修复后，实施了双侧肺移植。
