Unilateral volume reduction after single-lung transplantation for emphysema

作者: Timothy J. Kroshus , R. Morton Bolman , Vibhu R. Kshettry

DOI: 10.1016/0003-4975(96)00234-2

关键词: ComplicationMedicineAnesthesiaVolume reductionSurgeryTransplantationPulmonary function testingRadiographyPneumonectomyRespiratory diseaseLungPulmonary and Respiratory MedicineCardiology and Cardiovascular Medicine

摘要: Background. Single-lung transplantation has become accepted therapy for patients with end-stage emphysema. Hyperinflation of the native lung can occur after single-lung mediastinal shifting and compression transplanted lung. A volume reduction operation (pneumonectomy) may relieve symptoms dyspnea improve exercise tolerance. Methods. Three 66 who underwent emphysema had development hyperexpansion causing contralateral at 12, 17, 42 months transplantation. There were 2 men 1 woman. Unilateral was performed without complication in all 3 patients. Results. All noted to have marked improvement chest radiographs reduction, substantial relief dyspnea, An pulmonary function test results patient, but tests not done other Conclusions. Patients chronic obstructive disease undergo symptomatic requiring years be safely posttransplantation period.

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