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为一名曾接受心肺移植的患者因侵袭性肺拟青霉病进行再次双侧肺移植。

Redo bilateral lung transplantation in a previous heart-lung transplant recipient for invasive pulmonary scedosporiosis.

作者信息

Chauhan Akshay, Ranganath Nischal, Scott John P, Vergidis Paschalis, Roden Anja C, Spencer Philip J, Villavicencio Mauricio A, Daly Richard C, Saddoughi Sahar A

机构信息

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.

Section of Infectious Disease, Department of Medicine, Mayo Clinic, Rochester, Minnesota.

出版信息

JHLT Open. 2025 Apr 1;8:100247. doi: 10.1016/j.jhlto.2025.100247. eCollection 2025 May.

DOI:10.1016/j.jhlto.2025.100247
PMID:40486111
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12142616/
Abstract

Redo-bilateral lung transplant in previous heart-lung transplant is a rare operation. We describe our surgical and medical management experience with a heart-lung transplant recipient who developed chronic lung allograft dysfunction and invasive apiospermum infection. The patient underwent a redo-bilateral lung transplant followed by a combination of inhaled voriconazole, caspofungin, and olorofim for a prolonged period. We observed no issues with bronchial anastomosis healing, and the patient is doing well on 1-year follow-up. This report outlines a successful management approach to this rare complication of heart-lung transplant recipients.

摘要

既往心肺移植患者再次进行双侧肺移植是一种罕见的手术。我们描述了一名心肺移植受者出现慢性肺移植功能障碍和侵袭性阿皮芽孢菌感染后的手术及内科治疗经验。该患者接受了再次双侧肺移植,随后长期联合使用吸入伏立康唑、卡泊芬净和奥拉氟进行治疗。我们观察到支气管吻合口愈合无问题,患者在1年随访时情况良好。本报告概述了针对心肺移植受者这种罕见并发症的成功管理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2381/12142616/e086e97badb0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2381/12142616/8a419e5274b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2381/12142616/2fc2f98f498e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2381/12142616/e086e97badb0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2381/12142616/8a419e5274b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2381/12142616/2fc2f98f498e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2381/12142616/e086e97badb0/gr3.jpg

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Redo bilateral lung transplantation in a previous heart-lung transplant recipient for invasive pulmonary scedosporiosis.为一名曾接受心肺移植的患者因侵袭性肺拟青霉病进行再次双侧肺移植。
JHLT Open. 2025 Apr 1;8:100247. doi: 10.1016/j.jhlto.2025.100247. eCollection 2025 May.
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本文引用的文献

1
Sequential redo-bilateral lung transplantation in recipient with prior heart-lung transplantation with tracheal anastomosis.先前接受心肺移植并进行气管吻合术的受者进行序贯再次双侧肺移植。
JTCVS Tech. 2023 Apr 8;19:160-163. doi: 10.1016/j.xjtc.2023.03.017. eCollection 2023 Jun.
2
Efficacy of Olorofim against Systemic Scedosporiosis and Lomentosporiosis.奥洛罗芬治疗系统性足分枝菌病和罗麦孢菌病的疗效
Antimicrob Agents Chemother. 2021 Sep 17;65(10):e0043421. doi: 10.1128/AAC.00434-21. Epub 2021 Jul 12.
3
Perspectives on Scedosporium species and Lomentospora prolificans in lung transplantation: Results of an international practice survey from ESCMID fungal infection study group and study group for infections in compromised hosts, and European Confederation of Medical Mycology.
肺移植中赛多孢菌属和多育镰刀菌的研究现状:欧洲临床微生物与感染性疾病学会真菌感染研究组、免疫功能低下宿主感染研究组及欧洲医学真菌联合会的一项国际实践调查结果
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Species-specific antifungal susceptibility patterns of Scedosporium and Pseudallescheria species.棘孢木霉属和拟青霉属种的种特异性抗真菌药敏模式。
Antimicrob Agents Chemother. 2012 May;56(5):2635-42. doi: 10.1128/AAC.05910-11. Epub 2012 Jan 30.
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Revision of the 1996 working formulation for the standardization of nomenclature in the diagnosis of lung rejection.1996年肺移植排斥反应诊断命名标准化工作方案的修订版。
J Heart Lung Transplant. 2007 Dec;26(12):1229-42. doi: 10.1016/j.healun.2007.10.017.
6
Infections due to Scedosporium apiospermum and Scedosporium prolificans in transplant recipients: clinical characteristics and impact of antifungal agent therapy on outcome.移植受者中由尖端赛多孢子菌和多育赛多孢子菌引起的感染:临床特征及抗真菌药物治疗对结局的影响。
Clin Infect Dis. 2005 Jan 1;40(1):89-99. doi: 10.1086/426445. Epub 2004 Dec 8.
7
Coronary tracheal collaterals after heart-lung transplant.
Am J Cardiol. 2003 Dec 15;92(12):1490-2. doi: 10.1016/j.amjcard.2003.08.071.