Hiperinsuflação pulmonar após transplante unilateral por enfisema

Samano, Marcos Naoyuki; Junqueira, Jader Joel Machado; Teixeira, Ricardo Henrique de Oliveira Braga; Caramori, Marlova Luzzi; Pêgo‐Fernandes, Paulo Manuel; Jatene, Fábio Biscegli

doi:10.1590/s1806-37132010000200017

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…Symptoms after the primary procedure appeared from days to years. The most common complication in reviewed articles was hyperinflation (56% of the cases) 11,12,14,16 of the native lung but fungal infection (aspergillosis) was observed often as well (33%). [14][15][16] Symptoms were similar to the case we present: dyspnea, exercise intolerance and cough.…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors for hyperinflation are severe COPD and prolonged mechanical ventilation. 12 To remove the compression of transplanted organ, lung volume reduction surgery is performed, native lung pneumonectomy is not frequently reported. 13 In analysis performed by King et al out of 180 patients who underwent SLuTx, 25 developed complications in the native lung.…”

Section: Discussionmentioning

confidence: 99%

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Native lung hyperinflation after single lung transplantation – case report and literature review

et al. 2021

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Introduction: Single lung transplantation (SLuTx) is a challenging operation for patients with end-stage chronic pulmonary diseases. After surgery, native lung hyperinflation (NLH) and a mediastinal shift may develop, which changes the anatomical position of the lungs and heart and may lead to graft compression. Aim: We present a case report of a patient who developed NLH after SLuTx. We discuss the treatment methods and compare the outcomes with other case reports and analysis from world literature. Case study: A 56-year-old female patient was diagnosed with end-stage chronic obstructive pulmonary disease (FEV1 < 30%) and qualified for right SLuTx. After the procedure, spirometry revealed gradual loss in FEV1. Radiological images confirmed NLH and compression of the graft. Therefore, a native lung pneumonectomy was performed with positive outcomes. Results and discussion: NLH is a known complication of SLuTx. Typically, lung volume reduction surgery is performed to reduce the compression and a pneumonectomy is a rare treatment, even in centres with extensive experience with SLuTx. Conclusions: Despite SLuTx being a common approach in many pulmonary diseases, NLH should be always taken into consideration. Hyperinflation could cause a dangerous loss of respiratory efficiency and require invasive surgeries for lung transplant recipients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Native lung hyperinflation after single lung transplantation – case report and literature review

et al. 2021

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Endoscopic treatment of native lung hyperinflation using endobronchial valves in single‐lung transplant patients: a multinational experience

Perch

Riise

Hogarth

et al. 2014

Clinical Respiratory J

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Lung volume reduction followed by lung transplantation—considerations on selection criteria and outcome

Slama¹,

Taube²,

Kamler³

et al. 2018

J. Thorac. Dis

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Lung transplantation (LuTX) and lung volume reduction (LVR), either surgical (LVRS: lung volume reduction surgery) or endoscopic (ELVR: endoscopic lung volume reduction), are established therapies in the treatment of end-stage chronic obstructive pulmonary disease (COPD) patients. Careful patient selection is crucial for each intervention. If these techniques are sequentially applied there is a paucity of available data and individual center experiences vary depending on details in selection criteria and operative technique. This review aims to summarize the published data with a focus on LuTX after LVRS. This review covers patient selection for LuTX and LVR, technical considerations, limitations and outcomes. Published literature was identified by systematic search on Medline and appropriate papers were reviewed. Seven case reports/series, 7 comparative observational studies and one multicenter database analysis incorporating a total of 284 patients with LuTX and LVR were evaluated. Prior LVR can significantly affect intraoperative and postoperative risks after subsequent LuTX. Careful patient selection and timing and the choice of appropriate techniques such as minimal invasive LVRS and using ECMO as extracorporeal support during LuTX if required can minimize those risks, ultimately leading to very good postoperative outcomes in terms of lung function and survival. LVRS has the potential to delay listing and to bridge patients to LuTX by improving their physical condition while on the waiting list. After single lung transplantation (SLuTX) contralateral LVRS can counteract the deleterious effects of native lung hyperinflation (NLH). LVR and LuTX are adjunct therapies in the treatment of end-stage COPD. The combination of both can safely be considered in selected patients.

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Hiperinsuflação pulmonar após transplante unilateral por enfisema

Cited by 5 publications

References 10 publications

Native lung hyperinflation after single lung transplantation – case report and literature review

Native lung hyperinflation after single lung transplantation – case report and literature review

Endoscopic treatment of native lung hyperinflation using endobronchial valves in single‐lung transplant patients: a multinational experience

Lung volume reduction followed by lung transplantation—considerations on selection criteria and outcome

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