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成功进行双侧肺移植并在异基因造血干细胞移植后同时采用努斯技术矫正漏斗胸。

Successful bilateral lung transplantation and simultaneous Nuss technique correction of pectus excavatum post-allogeneic haematopoietic stem cell transplantation.

作者信息

Zhang Zhenrong, Ding Hao, Liu Feng, Chen Jingyu

机构信息

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.

出版信息

Interact Cardiovasc Thorac Surg. 2020 Feb 1;30(2):319-320. doi: 10.1093/icvts/ivz243.

Abstract

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.

摘要

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。

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