Department of Thoracic Surgery, University Medical Center, Ljubljana, Slovenia.
Department of Pulmonary Diseases and Allergy, University Medical Center, Ljubljana, Slovenia; Medical Faculty, University of Ljubljana, Slovenia.
Transplant Proc. 2021 Oct;53(8):2495-2497. doi: 10.1016/j.transproceed.2021.08.029. Epub 2021 Aug 28.
We report 2 cases of bilateral lung transplantation for nonresolving coronavirus disease 2019 associated respiratory failure. In the first patient, the severe acute respiratory syndrome coronavirus 2 infection caused acute respiratory distress syndrome requiring prolonged extracorporeal membrane oxygenation support; in the second patient, coronavirus disease 2019 resulted in irreversible pulmonary fibrosis requiring only ventilatory support. The 2 cases represent the 2 ends of the spectrum showing significant differences in preoperative and postoperative courses.
我们报告了 2 例因持续的 2019 冠状病毒病相关呼吸衰竭而行双侧肺移植的病例。在第 1 例患者中,严重急性呼吸综合征冠状病毒 2 感染导致急性呼吸窘迫综合征,需要长时间的体外膜氧合支持;在第 2 例患者中,2019 冠状病毒病导致不可逆的肺纤维化,仅需通气支持。这 2 例病例代表了疾病谱的两端,在术前和术后的病程中存在显著差异。