Zhang Zhenrong, Ding Hao, Liu Feng, Chen Jingyu
Department of Lung Transplantation, Center for Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Wuxi Lung Transplant Center, Wuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, China.
Interact Cardiovasc Thorac Surg. 2020 Feb 1;30(2):319-320. doi: 10.1093/icvts/ivz243.
Bronchiolitis obliterans syndrome after allogeneic haematopoietic stem cell transplantation has aroused clinical concern. We describe a case of a 39-year-old female patient diagnosed as bronchiolitis obliterans syndrome and concomitant pectus excavatum with a Haller index of 3.32. The patient received bilateral lung transplantation and simultaneously underwent Nuss surgery via bilateral anterolateral thoracotomies with veno-arterial extracorporeal membrane oxygenation support. The bar was removed 2 years after transplantation, and the patient has been stable in the past 4 years with haematological remission and satisfactory lung function.
异基因造血干细胞移植后闭塞性细支气管炎综合征引起了临床关注。我们描述了一例39岁女性患者,被诊断为闭塞性细支气管炎综合征并伴有漏斗胸,Haller指数为3.32。该患者接受了双肺移植,并同时通过双侧前外侧开胸手术在静脉-动脉体外膜肺氧合支持下进行了Nuss手术。移植后2年取出了钢板,患者在过去4年中病情稳定,血液学缓解,肺功能良好。