Emphysematous patients that were once treated with double lung transplantation can now also be treated with single lung transplantation. However, single lung transplantation in emphysematous patients presents problems in lung size matching, choice of side to transplant and post-operative assistance. Analysing their own experience of three single lung transplants performed on emphysematous patients, the Authors evaluate the effectiveness of the operation, the results and the difficulties encountered. Single lung transplantation is a good therapeutic option for end-stage emphysematous patients. In these patients right lung transplantation is preferable and the donor organ should be oversized. Positive and expiratory pressure in the native emphysematous lung should be applied with extreme caution.

Single lung transplantation for emphysema. Lessons learned on the field / P. Zannini, A. Baisi, G. Melloni, R. Cavagnoli, S. Mancini, D. Galmarini, G. Damia, G. Iapichino, M. Langer, M. Solca, D. Bauer, G. Pezzuoli, C. Gerosa, L.R. Fassati, G. Rossi, M. Colledan, E. Melada, R. Romito, U. Ruberti, A. Arpesani, A. Rignano, V. Gavazzeni, G. Bordone, D. Raddrizzani, D. Mascheroni, L. Allegra, D. Legnani, V. Frigo, A. Lotto, F. Massari, G. Scarlato, P. Spreafico, G. Invernizzi, A. Comazzi, M. Pignanelli, F. Assandri, G. Sirchia, C. Pizzi, M. Scalamogna, L. Matturri, D. Fortis, G. Nastri, C. Zanussi, P. Bonara. - In: INTERNATIONAL SURGERY. - ISSN 0020-8868. - 77:1(1992), pp. 28-36.

Single lung transplantation for emphysema. Lessons learned on the field

A. Baisi;G. Iapichino;M. Langer;D. Bauer;G. Rossi;
1992

Abstract

Emphysematous patients that were once treated with double lung transplantation can now also be treated with single lung transplantation. However, single lung transplantation in emphysematous patients presents problems in lung size matching, choice of side to transplant and post-operative assistance. Analysing their own experience of three single lung transplants performed on emphysematous patients, the Authors evaluate the effectiveness of the operation, the results and the difficulties encountered. Single lung transplantation is a good therapeutic option for end-stage emphysematous patients. In these patients right lung transplantation is preferable and the donor organ should be oversized. Positive and expiratory pressure in the native emphysematous lung should be applied with extreme caution.
Settore MED/41 - Anestesiologia
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/176587
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