Liu Fabing, Ruan Zheng, Wang Shaohua, Lin Qiang
Department of Thoracic Surgery, The First People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China.
Ann Thorac Cardiovasc Surg. 2014;20(1):70-3. doi: 10.5761/atcs.cr.13-00133. Epub 2013 Oct 3.
Native lung hyperinflation (NLH) is one of the known complications after single lung transplantation (SLT). Generally, satisfactory results are achieved in patients undergoing SLT when simultaneous (or second stage) volume reduction of the contralateral native lung is performed. Contralateral native lung pneumonectomy after SLT is rarely reported. In this article, we report a case of a successful, right pneumonectomy of the native lung, 3 years after a left single lung transplant for pulmonary lymphangioleiomyomatosis (PLAM). The patient's pulmonary function and quality of life improved significantly after a right pneumonectomy of the native lung.
天然肺过度充气(NLH)是单肺移植(SLT)后已知的并发症之一。一般来说,在进行单肺移植的患者中,若同时(或二期)对侧天然肺进行减容手术,可取得满意的效果。单肺移植后对侧天然肺肺切除术的报道很少。在本文中,我们报告了一例成功的天然肺右肺切除术病例,该患者在因肺淋巴管平滑肌瘤病(PLAM)接受左单肺移植3年后进行了此手术。天然肺右肺切除术后,患者的肺功能和生活质量有了显著改善。