Silva David T, Dantas Carolina, Santos Ana Sofia, Silva Cecilia, Aires Inês, Remédio Francisco, Carrelhas Sofia, Pena Ana, Reis João Eurico, Calvinho Paulo, Semedo Luísa, Cardoso João, Nolasco Fernando, Fragata José
Pulmonology Department, Hospital of Santa Marta, Centro Hospitalar Universitário Lisboa Central (CHULC), Portugal.
NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal.
Respir Med Case Rep. 2021 Mar 19;33:101386. doi: 10.1016/j.rmcr.2021.101386. eCollection 2021.
A significant dysfunction of another organ is usually considered an absolute contraindication for lung transplantation, unless multiorgan transplantation is indicated and practical, as is the case of combined lung-kidney transplantation. Few cases of combined lung-kidney transplantation have been described in the literature; however, it is known that, in certain cases, it is the only way to offer an opportunity to selected patients with renal and lung dysfunction. The authors are not aware of any previously published case of a patient receiving both extracorporeal membrane oxygenation and continuous venovenous hemodiafiltration as a bridge for combined kidney-lung transplantation. The authors present the first case of combined lung-kidney transplantation performed in Portugal.
除非有多器官移植的指征且切实可行，如肺肾联合移植的情况，否则另一器官的严重功能障碍通常被视为肺移植的绝对禁忌证。文献中很少描述肺肾联合移植的病例；然而，众所周知，在某些情况下，这是为选定的肾和肺功能不全患者提供机会的唯一途径。作者不知道之前有任何关于患者接受体外膜肺氧合和持续静静脉血液透析滤过作为肺肾联合移植桥梁的病例报道。作者介绍了葡萄牙首例肺肾联合移植病例。
