| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 52, 438-445, Copyright © 1991 by The Society of Thoracic Surgeons
LR Kaiser, MK Pasque, EP Trulock, DE Low, CM Dresler and JD Cooper
We recently described a technique for bilateral sequential lung
transplantation that replaces the en bloc double-lung operation, a
procedure that was accompanied by frequent problems with airway healing.
Twenty-seven patients have undergone 28 bilateral sequential lung
transplantations over the past 14 months. Eighteen patients had
transplantation because of end-stage emphysema; 6, cystic fibrosis; and 1
each, obliterative bronchiolitis, usual interstitial pneumonitis with
pulmonary fibrosis, and bronchiectasis. Cardiopulmonary bypass was used
electively in the first 5 patients until it was recognized that the
procedure could be done safely without it, and in only 3 additional
recipients has it been employed. Mean ischemic time for the first lung was
276 +/- 43 minutes and for the second lung, 410 +/- 64 minutes. There have
been five deaths, three in the postoperative period (11% operative
mortality) and two late. The other patients are alive and well and do not
require oxygen 2 to 15 months after transplantation. Mean forced expiratory
volume in 1 second rose from 16% +/- 8% of predicted to 84% +/- 17% at 12
weeks. Six-minute walk values increased from a mean of 251 +/- 91 m to 666
+/- 42 m at 24 weeks. The excellent exposure afforded to both hemithoraces
by the thoracosternotomy incision and the rare need of cardiopulmonary
bypass have allowed us to offer the option of transplantation to patients
who formerly would have been turned down because of previous pulmonary
resection or pleurectomy. On four occasions, ventilator-dependent patients
underwent successful transplantation.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Bilateral sequential lung transplantation: the procedure of choice for double-lung replacement
Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
This article has been cited by other articles:
|
|
 |
|
  K. Kallenbach, A. R. Simon, A. Haverich, and M. Struber Heart lung transplantation in a patient with large aortopulmonary collaterals by means of an extended approach J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 543 - 544. [Full Text] [PDF]
|
|
|
|
 |
|
 G. Yung Lung Transplantation and Pulmonary Hypertension Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2007; 11(2): 149 - 156. [Abstract] [PDF]
|
|
|
|
|
|
T. Oto, M. Rabinov, F. Rosenfeldt, and D. S. Esmore Extended pericardiotomy avoids cardiopulmonary bypass during bilateral sequential lung transplantation J. Thorac. Cardiovasc. Surg., February 1, 2005; 129(2): 466 - 467. [Full Text] [PDF]
|
|
|
|
 |
|
 B. Bech, T. Pressler, M. Iversen, J. Carlsen, N. Milman, K. Eliasen, M. Perko, and H. Arendrup Long-term outcome of lung transplantation for cystic fibrosis -- Danish results Eur. J. Cardiothorac. Surg., December 1, 2004; 26(6): 1180 - 1186. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C.L. Lau and G.A. Patterson Current status of lung transplantation Eur. Respir. J., November 16, 2003; 22(47_suppl): 57s - 64s. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. R. Nunley, A. A. Gal, J. D. Vega, C. Perlino, P. Smith, and E. C. Lawrence Saprophytic Fungal Infections and Complications Involving the Bronchial Anastomosis Following Human Lung Transplantation Chest, October 1, 2002; 122(4): 1185 - 1191. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Y. Szeto, D. Kreisel, G. C. Karakousis, A. Pochettino, D. H. Sterman, R. M. Kotloff, S. M. Arcasoy, D. A. Zisman, N. P. Blumenthal, R. J. Gallop, et al. Cardiopulmonary bypass for bilateral sequential lung transplantation in patients with chronic obstructive pulmonary disease without adverse effect on lung function or clinical outcome J. Thorac. Cardiovasc. Surg., August 1, 2002; 124(2): 241 - 249. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Sekine, S. Fischer, M. de Perrot, A. F. Pierre, and S. Keshavjee Bilateral lung transplantation using a donor with a tracheal right upper lobe bronchus Ann. Thorac. Surg., January 1, 2002; 73(1): 308 - 310. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Alvarez, J. Algar, F. Santos, R. Lama, J.L. Aranda, C. Baamonde, J. Lopez-Pujol, and A. Salvatierra Airway complications after lung transplantation: a review of 151 anastomoses Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 381 - 387. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Pochettino, R. M. Kotloff, B. R. Rosengard, S. M. Arcasoy, N. P. Blumenthal, L. R. Kaiser, and J. E. Bavaria Bilateral versus single lung transplantation for chronic obstructive pulmonary disease: intermediate-term results Ann. Thorac. Surg., December 1, 2000; 70(6): 1813 - 1819. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. G. KADITIS, M. GONDOR, P. A. NIXON, S. WEBBER, R. J. KEENAN, R. KAYE, and G. KURLAND Airway Complications Following Pediatric Lung and Heart-Lung Transplantation Am. J. Respir. Crit. Care Med., July 1, 2000; 162(1): 301 - 309. [Abstract] [Full Text]
|
|
|
|
|
|
D. R. Nunley, W. F. Grgurich, R. J. Keenan, and J. H. Dauber Empyema Complicating Successful Lung Transplantation Chest, May 1, 1999; 115(5): 1312 - 1315. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Macchiarini, F. Le Roy Ladurie, J. Cerrina, E. Fadel, A. Chapelier, and P. Dartevelle Clamshell or sternotomy for double lung or heart-lung transplantation? Eur. J. Cardiothorac. Surg., March 1, 1999; 15(3): 333 - 339. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Bavaria, A. Pochettino, R. M. Kotloff, B. R. Rosengard, P. M. Wahl, Roberts, H. I. Palevsky, and L. R. Kaiser Effect of volume reduction on lung transplant timing and selection for chronic obstructive pulmonary disease J. Thorac. Cardiovasc. Surg., January 1, 1998; 115(1): 9 - 13. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Bavaria, R. Kotloff, H. Palevsky, B. Rosengard, J. R. Roberts, P. M. Wahl, N. Blumenthal, C. Archer, and L. R. Kaiser BILATERAL VERSUS SINGLE LUNG TRANSPLANTATION FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 520 - 528. [Abstract] [Full Text]
|
|
|
|
|
|
H. A. Gaissert, E. P. Trulock, J. D. Cooper, R. S. Sundaresan, and G. A. Patterson COMPARISON OF EARLY FUNCTIONAL RESULTS AFTER VOLUME REDUCTION OR LUNG TRANSPLANTATION FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE J. Thorac. Cardiovasc. Surg., February 1, 1996; 111(2): 296 - 307. [Abstract] [Full Text]
|
|
|
|
|
|
S. Kesten, A. de Hoyas, C. Chaparro, G. Westney, T. Winton, and J. R. Maurer Aprotinin Reduces Blood Loss in Lung Transplant Recipients Ann. Thorac. Surg., April 1, 1995; 59(4): 877 - 879. [Abstract] [Full Text]
|
|
|
|
|
|
H. Date, S. Izumi, Y. Miyade, A. Andou, N. Shimizu, and S. Teramoto Successful Canine Bilateral Single-Lung Transplantation After 21-Hour Lung Preservation Ann. Thorac. Surg., February 1, 1995; 59(2): 336 - 341. [Abstract] [Full Text]
|
|
|
|
|
|
P. Macchiarini, A. Chapelier, P. Vouhe, J. Cerrina, F. Le Roy Ladurie, F. Parquin, F. Brenot, G. Simonneau, P. Dartevelle, and for the Paris-Sud University Lung Transplant Group Double lung transplantation in situs inversus with Kartagener's syndrome J. Thorac. Cardiovasc. Surg., July 1, 1994; 108(1): 86 - 91. [Abstract] [Full Text]
|
|
|
|
|
|
T. Bando, S. Kosaka, C. Liu, T. Hirai, T. Hirata, H. Yokomise, K. Yagi, K. Inui, S. Hitomi, and H. Wada Effects of newly developed solutions containing trehalose on twenty-hour canine lung preservation J. Thorac. Cardiovasc. Surg., July 1, 1994; 108(1): 92 - 98. [Abstract] [Full Text]
|
|
|
|
 |
|
 S. E. Weinberger Recent Advances in Pulmonary Medicine- Second of Two Parts N. Engl. J. Med., May 20, 1993; 328(20): 1462 - 1470. [Full Text]
|
|
|
|
 |
|
 Diagnostic and Therapeutic Technology Assessment (DATTA) JAMA, February 17, 1993; 269(7): 931 - 936. [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
