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Single lung retrieval from a donor supported by a left ventricular assist device
Keitaro Matsumoto1,2, Naoya Yamasaki1,2, Tomoshi Tsuchiya1
1Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Journal of Thoracic Disease
|September 22, 2017
Summary
Patients requiring a left ventricular assist device (LVAD) can be potential organ donors. Successful lung retrieval from an LVAD donor enabled a single lung transplant, demonstrating feasibility.
Area of Science:
- Cardiology
- Transplantation Surgery
- Organ Donation
Background:
- The use of left ventricular assist devices (LVADs) has risen significantly in cardiac care.
- Organ retrieval from donors supported by LVADs remains infrequent.
- Lung transplantation is a critical option for end-stage lung disease.
Observation:
- A case study involving organ retrieval from a donor on LVAD support was conducted.
- Careful dissection was necessary to avoid damaging the heart, great vessels, and the LVAD outflow conduit due to adhesions.
- A successful right single lung transplantation was performed using the retrieved lung.
Findings:
- Lung retrieval from a donor supported by an LVAD is technically feasible.
- The procedure requires meticulous attention to anatomical structures and the device.
- The transplanted lung functioned well, with no immediate postoperative complications.
Implications:
- Individuals with LVAD support represent a potential donor pool for lung transplantation.
- This expands options for lung transplant candidates.
- Further research may optimize protocols for organ procurement from LVAD donors.