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Published on: October 28, 2021
Considerations on infectious complications using a drowned lung for transplantation
Konrad Hoetzenecker1, Hendrik J Ankersmit, György Lang
1Department of Cardiothoracic Surgery, Medical University of Vienna, Vienna, Austria.
Summary
Lungs from drowning victims can be transplanted, but carry infection risks. This case highlights Aeromonas hydrophila infection after lung transplantation from a submersion victim, proposing new safety protocols.
Area of Science:
- Medicine
- Transplant Surgery
- Infectious Diseases
Background:
- Lung transplantation is a life-saving procedure for end-stage lung disease.
- The use of lungs from drowned victims for transplantation is an emerging area with limited data on associated risks.
- Standard protocols for evaluating and utilizing organs from drowning victims are lacking.
Observation:
- A case of lung transplantation from a submersion victim is presented.
- The recipient developed a severe Aeromonas hydrophila infection in the transplanted lung.
- This highlights a potential infectious complication associated with using drowned donor lungs.
Findings:
- Drowned donor lungs may harbor pathogens, posing a significant risk for post-transplant infections.
- Aeromonas hydrophila is a potential pathogen to consider in lung transplant recipients from submersion victims.
- The case underscores the need for stringent infectious screening and management protocols.
Implications:
- Development of standardized procedures for assessing and managing drowned donor lungs is crucial.
- Minimizing infectious complications is paramount for successful lung transplantation outcomes.
- Further research is needed to fully understand the risks and benefits of utilizing organs from drowning victims.

