• Transplant. Proc. · May 2011

    Case Reports

    Late lung retransplantation using extracorporeal membrane oxygenation as a bridge: case report.

    • M Nosotti, L Rosso, D Tosi, A Palleschi, P Mendogni, S Crotti, A Lissoni, S Ferrero, P Tarsia, and L Santambrogio.
    • Thoracic Surgery and Lung Transplantation Unit, Fondazione I.R.C.C.S. Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.
    • Transplant. Proc. 2011 May 1;43(4):1198-200.

    AbstractLung retransplantation is the only therapeutic option for acute and chronic graft failure, but only a few cases have been described to have been performed with extracorporeal membrane oxygenation (ECMO) support. We describe the successful case of a 46-year-old man treated with right lung transplantation and left lung retransplantation supported by venovenous ECMO. Lung retransplantation is the only therapeutic option to treat severe primary graft dysfunction, major technical problems, and refractory chronic rejection following pulmonary transplantation. Despite a number of comprehensive studies on lung retransplantation, only a few works have addressed the use of extracorporeal membrane oxygenation (ECMO) as a bridge to the surgical reoperation. Herein we have presented a patient treated with pulmonary bilateral retransplantation subsequent to ECMO therapy for progressive deterioration of pulmonary function in single lung transplantation.Copyright © 2011 Elsevier Inc. All rights reserved.

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