Lung transplanted after 10 months on mechanical ventilation
Exceptionally prolonged mechanical ventilation seems no hinder for lung transplantation.
A minor sensation was reported recently from Okayama, Japan, in Ann Thorac Surg (Tanaka S et al, 2017) where a 10-year-old girl successfully received a donor lung from a teenage donor with hypoxic brain damage who had been on mechanical ventilation for well over 10 months.
The donor’s lungs revealed diffuse radiologic infiltration and atelectasis but excellent function, with a PaO2/FiO2 ratio of 450. According to the report, the recipient “developed grade 2 primary graft dysfunction, but recovered quickly. She is doing well and has not experienced any other critical adverse events 12 months after lung transplantation.”.
Xvivo Insights PB-2018-01-28