Nov 5, 2020
Long-term clinical follow-up after lung transplantation in patient with scoliosis: a case report.
General thoracic and cardiovascular surgery
- ,
- ,
- ,
- ,
- ,
- Volume
- 69
- Number
- 4
- First page
- 752
- Last page
- 755
- Language
- English
- Publishing type
- Research paper (scientific journal)
- DOI
- 10.1007/s11748-020-01539-4
Severe scoliosis causes anatomical distortion of structures in the chest, which raises concerns about donor-recipient size-mismatch in lung transplantation (LT), so that severe scoliosis is considered as an absolute contraindication for LT. Also, postoperative right-side bronchial stenosis is one of the common complications in LT recipients with severe scoliosis. To date, the long-term outcomes in severe scoliosis patients with bronchial stenosis after LT have not been reported. A 14-year-old female patient with scoliosis and interstitial pneumonia underwent bilateral cadaveric LT. Although she developed bronchial stenosis post-LT, necessitating bronchoscopic intervention on three occasions, her lung function and perfusion recovered to the levels recorded prior to development of the obstruction, with the good condition maintained for more than 5 years after the LT. Therefore, while patients with severe scoliosis are at an elevated risk of postoperative transient bronchial stenosis, scoliosis should not always be considered as a contraindication to LT.
- Link information
- ID information
-
- DOI : 10.1007/s11748-020-01539-4
- Pubmed ID : 33155165