Shennib H, Massard G, Gauthier R, Colman N, Mulder D
Joint Marseille Montreal Lung Transplant Program, Montreal General Hospital, Quebec, Canada.
J Heart Lung Transplant. 1993 Mar-Apr;12(2):288-93.
A 15-year-old girl with end-stage lung disease from cystic fibrosis underwent a bilateral lung transplantation. Infarction of the left lung allograft required its removal on day 10. The patient went on to have an uneventful recovery except for a prolonged air leak from the right allograft of approximately 29 days. The left pleural cavity opacified with time with no clinical or radiologic evidence of empyema. The patient was discharged on day 35 in good condition. On a follow-up examination 6 months after transplantation, she appeared to be functioning extremely well with a single lung allograft. This case report challenges the conventional wisdom that bilateral pneumonectomy and single lung transplantation are not an option to be considered for patients with cystic fibrosis or bronchiectasis.
一名患有囊性纤维化终末期肺病的15岁女孩接受了双侧肺移植。左肺移植肺梗死，需要在第10天切除。除了右肺移植肺持续漏气约29天外，患者恢复顺利。随着时间的推移，左胸腔出现混浊，但没有脓胸的临床或影像学证据。患者于第35天状况良好出院。移植后6个月的随访检查显示，她单肺移植后功能极佳。本病例报告对传统观念提出了挑战，即双侧肺切除术和单肺移植不适用于囊性纤维化或支气管扩张症患者。
