Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.
Transplant Center, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, St. Louis, Missouri.
Ann Thorac Surg. 2019 Feb;107(2):e121-e122. doi: 10.1016/j.athoracsur.2018.06.049. Epub 2018 Aug 3.
Lung transplantation continues to be limited by a shortage of donor organs. We report the case of procurement and transplantation of lungs from a young donor who died from an atrioesophageal fistula, complicating catheter ablation for atrial fibrillation. Our case illustrates that structural damage to the left atrium is not an absolute contraindication to lung donation. As atrioesophageal fistulas are being increasingly recognized as a rare but often lethal complication of catheter ablation, such donors can contribute to the expansion of the donor pool.
肺移植仍然受到供体器官短缺的限制。我们报告了一例从一名年轻供体中获取和移植肺的病例,该供体死于房颤导管消融术引起的房室瘘。我们的病例表明,左心房的结构损伤并不是肺捐献的绝对禁忌。由于房室瘘越来越被认为是导管消融术罕见但常常致命的并发症,因此这些供体可以为供体库的扩大做出贡献。