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Successful lung transplantation from a donor with persistent lobar atelectasis
Aditya Bansal1, Norihisa Shigemura2, Yoshiya Toyoda3
1Department of Surgery, Section of Cardiothoracic Surgery, Ochsner Clinic Foundation, New Orleans, LA.
Ochsner Journal
|June 19, 2014
Summary
Lung transplant recipients are increasing, driving the need for expanded donor criteria. This case study shows successful transplantation using lungs from a donor with persistent lobar atelectasis, suggesting expanded criteria can improve outcomes.
Area of Science:
- Cardiothoracic Surgery
- Transplantation Medicine
- Pulmonary Medicine
Background:
- Increasing lung transplant waiting lists necessitate expanded donor criteria.
- Extended criteria donors offer a potential solution to donor shortages.
- Exploration of utilizing donors with radiographic abnormalities is ongoing.
Observation:
- A bilateral lung transplantation was performed for a patient with emphysema.
- The donor lungs exhibited persistent lobar atelectasis on imaging.
- The transplantation utilized lungs from this extended criteria donor.
Findings:
- Successful bilateral lung transplantation was achieved despite donor lobar atelectasis.
- Acceptable patient outcomes are possible with extended criteria donors.
- Donor lung radiographic abnormalities may not preclude successful transplantation.
Implications:
- This case supports the use of donors with persistent lobar atelectasis in lung transplantation.
- Further research is needed to understand the impact of donor radiographic abnormalities on long-term outcomes.
- Liberalizing donor criteria can potentially increase lung allograft availability and improve patient survival.
