title: Late lung retransplantation using extracorporeal membrane oxygenation as a bridge: case report.
abstract: Lung retransplantation is the only therapeutic option for acute and chronic graft failure, but only a few cases have been described to have been performed with extracorporeal membrane oxygenation (ECMO) support. We describe the successful case of a 46-year-old man treated with right lung transplantation and left lung retransplantation supported by venovenous ECMO. Lung retransplantation is the only therapeutic option to treat severe primary graft dysfunction, major technical problems, and refractory chronic rejection following pulmonary transplantation. Despite a number of comprehensive studies on lung retransplantation, only a few works have addressed the use of extracorporeal membrane oxygenation (ECMO) as a bridge to the surgical reoperation. Herein we have presented a patient treated with pulmonary bilateral retransplantation subsequent to ECMO therapy for progressive deterioration of pulmonary function in single lung transplantation.
authors.affiliation: Thoracic Surgery and Lung Transplantation Unit, Fondazione I.R.C.C.S. Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Nosotti
authors.forename: L
authors.initials: L
authors.lastname: Rosso
authors.forename: D
authors.initials: D
authors.lastname: Tosi
authors.forename: A
authors.initials: A
authors.lastname: Palleschi
authors.forename: P
authors.initials: P
authors.lastname: Mendogni
authors.forename: S
authors.initials: S
authors.lastname: Crotti
authors.forename: A
authors.initials: A
authors.lastname: Lissoni
authors.forename: S
authors.initials: S
authors.lastname: Ferrero
authors.forename: P
authors.initials: P
authors.lastname: Tarsia
authors.forename: L
authors.initials: L
authors.lastname: Santambrogio
mesh_terms: D002908:Chronic Disease; D015199:Extracorporeal Membrane Oxygenation; D006084:Graft Rejection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D055031:Primary Graft Dysfunction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012720:Severity of Illness Index; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome