Hu Runlei, Chen Jun, Li Zhoubin, Chen Yanni, Han Weili
Department of Lung Transplantation and Thoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
J Cardiothorac Surg. 2024 Dec 19;19(1):654. doi: 10.1186/s13019-024-03138-3.
Lung transplantation is the most effective treatment for end-stage lung disease. However, the shortage of donor lungs is a major limitation. Inverted lung transplantation has the potential to expand the donor pool and make suitable donor lungs available to more patients.
We present the case of a 65-year-old male who developed interstitial lung disease and pulmonary fibrosis. After a comprehensive evaluation, it was determined that the patient met the criteria for a lung transplantation. The patient's right lung condition was more severe than the left. Based on the allocation system, a suitable left donor lung was assigned to the patient. The patient underwent a left-to-right inverted single-lung transplantation. The transplanted lung gradually regained function postoperatively. Unfortunately, the patient passed away due to multiple organ failure caused by infection two months later.
In this report, we present a case of left-to-right inverted single-lung transplantation. Based on the preoperative evaluation and the patient's consent, this surgical approach is feasible. This technique has the potential to broaden the pool of compatible donors and increase the number of recipients.
肺移植是终末期肺病最有效的治疗方法。然而，供肺短缺是一个主要限制因素。逆向肺移植有可能扩大供体库，使更多患者能够获得合适的供肺。
我们报告一例65岁男性，患有间质性肺病和肺纤维化。经过全面评估，确定该患者符合肺移植标准。患者右肺状况比左肺更严重。根据分配系统，为患者分配了合适的左供肺。患者接受了从左到右的逆向单肺移植。移植肺术后逐渐恢复功能。不幸的是，患者在两个月后因感染导致多器官衰竭去世。
在本报告中，我们展示了一例从左到右的逆向单肺移植病例。基于术前评估和患者同意，这种手术方法是可行的。该技术有可能扩大相容供体库并增加受者数量。
