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The first lung retransplantation with “ECMO bridge” in the Czech Republic – case report


Authors: R. Novysedlák 1;  J. Vachtenheim Jr. 1;  Z. Střížová 2;  J. Šimonek 1;  M. Švorcová 1;  J. Havlín 1;  J. Pozniak 1;  J. Kolařík 1;  R. Lischke 1
Authors‘ workplace: Národní program transplantace plic pro Českou a Slovenskou republiku, III. chirurgická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha 1;  Ústav imunologie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha 2
Published in: Rozhl. Chir., 2022, roč. 101, č. 5, s. 239-243.
Category: Case Report
doi: https://doi.org/10.33699/PIS.2022.101.5.239–243

Overview

During the last 23 years of the National Lung Transplant Program in the Czech Republic, more than 500 lung transplantations, 4 retransplantations and one lobar retransplantation have been performed. We present the case report of a female patient with cystic fibrosis who underwent her first bilateral lung transplantation in January 2020. Due to a chronic lung allograft dysfunction, the patient required ECMO support and retransplantation. For the first time in the Czech Republic, a lung retransplantation with “ECMO bridge to (re)transplantation” preoperative support was performed in April 2021. The patient was discharged 39 days after retransplantation in a stable condition. At the day 90 follow-up visit, the patient was in a generally good condition with satisfying spirometric functions.

Keywords:

Pulmonology – Cystic fibrosis – rejection – lung retransplantation – ECMO bridge – chronic lung allograft dysfunction


Sources

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