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Adelheid End
Michael Grimm
Derya Oturanlar
Ernst Wolner
Walter Klepetko
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Ann Thorac Surg 1993;56:562-564
© 1993 The Society of Thoracic Surgeons

Articles

Successful lung transplantation in a long-term ventilator-dependent patient

Adelheid End, MD, Michael Grimm, MD, Peter Mares, MD, Derya Oturanlar, MD, Sylvia Hartl, MD, Werner Heindl, MD, Ernst Wolner, MD, Walter Klepetko, MD*

Second Department of Surgery and Department of Cardiothoracic and Vascular Anaesthesia and Intensive Care, University of Vienna, Vienna, Austria

Accepted for publication November 2, 1992.

* Address reprint requests to Dr Klepetko, Second Department of Surgery, University of Vienna, Spitalgasse 23, A-1090, Vienna, Austria.

Ventilator dependence has been postulated to be a major contraindication for successful lung transplantation. We describe the case of a 44-year-old female patient mechanically ventilated for 10 months after adult respiratory distress syndrome. After a program of physical training the patient underwent successful bilateral sequential lung transplantation. Six months postoperatively she is in good physical condition and is able to carry out the activities of normal daily living. We conclude that in selected patients long-term mechanical ventilatory support is not a contraindication for lung transplantation.






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Copyright © 1993 by The Society of Thoracic Surgeons.