• Curr Opin Anaesthesiol · Feb 2023

    Review

    Lung transplantation for coronavirus disease 2019 associated severe acute respiratory distress syndrome.

    • Rafael Garza-Castillon and Ankit Bharat.
    • Division of Thoracic Surgery.
    • Curr Opin Anaesthesiol. 2023 Feb 1; 36 (1): 111911-19.

    Purpose Of ReviewThe purpose of this review is to analyze the most recent and relevant literature involving lung transplantation for coronavirus disease 2019 (COVID-19) associated acute respiratory distress syndrome (ARDS), the pathological mechanisms of lung injury, selection criteria and outcomes.Recent FindingsPathological analysis of lungs after COVID-19 ARDS has shown architectural distortion similar to that observed in explanted lungs from patients undergoing lung transplantation for end-stage lung diseases such as emphysema. Short-term outcomes after lung transplantation for COVID-19 associated respiratory failure are comparable to those performed for other indications.SummaryLung transplantation after COVID-19 ARDS is a potentially life-saving procedure for appropriately selected patients with no evidence of lung function recovery despite maximal treatment. Lung transplantation should be ideally performed in high-volume centers with expertise.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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