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Case Reports
. 2014 Summer;14(2):266-9.

Successful lung transplantation from a donor with persistent lobar atelectasis

Aditya Bansal  1 , Norihisa Shigemura  2 , Yoshiya Toyoda  3 , Jay K Bhama  2
Affiliations
Case Reports

Successful lung transplantation from a donor with persistent lobar atelectasis

Aditya Bansal et al. Ochsner J. 2014 Summer.

Abstract

Background: Over the past 15 years, the number of recipients waiting for a lung transplant has increased and now far exceeds the number of available donors. Liberalization of donor criteria to include the use of extended donors remains an attractive option for expanding the donor pool. Numerous centers, including the authors' own, have begun exploring this relatively unknown territory of lung transplantation.

Case report: Successful bilateral lung transplantation was performed for a patient with emphysema utilizing lungs from a donor with persistent lobar atelectasis.

Conclusion: This report demonstrates that an acceptable outcome is possible from a donor with persistent lobar atelectasis if other parameters are acceptable. Larger studies would help further our understanding of the impact of donor radiographic abnormalities on outcomes following lung transplantation.

Keywords: Directed tissue donation; lung transplantation; pulmonary atelectasis.

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Conflict of interest statement

The authors have no financial or proprietary interest in the subject matter of this article.

Figures

Figure 1.
Figure 1.
Chest radiograph of the donor (A) at admission and (B) on the day of donation.
Figure 2.
Figure 2.
Chest radiograph of the recipient (A) on postoperative day 1 and (B) at time of discharge from the hospital.
Figure 3.
Figure 3.
Chart summarizing the progressive relaxation of donor acceptability criteria. (Reprinted with permission from Botha P, Fisher AJ, Dark JH. Promotional and commercial use of the material in print, digital, or mobile device format is prohibited without the permission from the publisher Lippincott Williams & Wilkins. Please contact journalpermissions@lww.com for further information.)
See this image and copyright information in PMC

References

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