Organ Transplantation Research Today is a free monthly online journal that collates and summarizes the latest research about Organ Transplantation, including details on risks, prognosis, procedure, surgery.

Third-time lung transplant using extended criteria lungs.

Oto T, Rowland M, Griffiths AP, Levvey BJ, Esmore DS, Williams TJ, Snell GI

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

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.

Published 23 July 2007 in Ann Thorac Surg, 84(2): 642-4.
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