[Single lung transplantation with concomitant contralateral lung volume reduction for end- stage emphysema].
OBJECTIVE
To evaluate the effect of single lung transplantation with concomitant contralateral lung volume reduction surgery (LVRS) for the management of end-stage emphysema.


METHODS
A 46 year-old patient with end-stage emphysema received right lung transplantation and LVRS through the bilateral anterior-lateral intercostal incisions simultaneously.


RESULTS
Hyperinflation of the native lung or mediastinal shift did not occur after the operation, and the transplanted right lung dilated well without suppression. Acute rejection was not observed and the patient weaned from tracheal intubation 60 h after operation and from ventilator 108 h postoperatively. Persistent air leak occurred after LVRS but closed after instillation of hyperosmotic glucose. The patient was discharged 45 days after operation with significantly improved pulmonary function and normal life.


CONCLUSIONS
Single lung transplantation with concomitant contralateral lung volume reduction for emphysema eliminates such complications of single lung transplantation as native lung hyperinflation, mediastinal shift, excessive suppression of the transplanted lung and hemodynamics instability, and can improve the success rate of the operation.
Shen
Yi
Y
Department of Thoracic Surgery, Affiliated Hospital of Medical College of Qingdao University, Qingdao 266003, China.
Chen
Jing-yu
JY
Wei
Yu-cheng
YC
Luo
Yi-ren
YR
Xu
Lin-hao
LH
Liu
Ying-zhi
YZ
Yuan
Li
L
D003131:Combined Modality Therapy; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery*; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011656:Pulmonary Emphysema / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome