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Takahiro Oto
Michael Rowland
Donald S. Esmore
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Right arrow Lung - transplantation

Ann Thorac Surg 2007;84:642-644
© 2007 The Society of Thoracic Surgeons

Case Reports

Third-Time Lung Transplant Using Extended Criteria Lungs

Takahiro Oto, MD, Michael Rowland, FRACS, Anne P. Griffiths, FRCNA, Bronwyn J. Levvey, RN, Donald S. Esmore, FRACS, Trevor J. Williams, FRACP, Gregory I. Snell, FRACP*

Lung Transplant Service, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia

Accepted for publication March 9, 2007.

* Address correspondence to Dr Snell, Department of Allergy, Immunology, and Respiratory Medicine, The Alfred Hospital, Commercial Road, Melbourne, Victoria, 3004, Australia (Email: g.snell{at}alfred.org.au).

There is an increasing requirement for lung re-transplants (re-LTx) related to the bronchiolitis obliterans syndrome. Nevertheless, re-LTx, especially second-time re-LTx, poses the dilemma of appropriate allocation of a scarce donor lung resource versus the desire to optimize outcomes for an individual patient. Extended donors have been used to partially alleviate a scarce donor lung supply with satisfactory outcomes for primary lung transplant. However, the usefulness of the extended donors remains unknown, including donation-after-cardiac-death donors for re-LTx. This report describes a second-time re-LTx using significantly extended donor criteria lungs from a Maastricht category IV donation-after-cardiac-death donor with resultant good clinical outcomes.






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