title: Single lung transplantation in a patient with retrospective positive cross-match.
abstract: Lung transplantation is a method useful in such non-malignant end-stage parenchymal and vascular diseases as: chronic obstructive pulmonary disease (COPD), idiopathic interstitial pulmonary fibrosis, cystic fibrosis, or primary pulmonary hypertension. The main aim of this procedure is to extend the patient's lifespan and quality of life. However, the availability of the operation is limited by organ access. In this paper we present the case of a 58-year-old female in the fourth stage of COPD, who was classified to have a single lung transplantation. Because of some technical problems it was decided to transplant a left donor lung in the right recipient lung locus. Positive cross match was demonstrated retrospectively, and we applied five courses of plasmapheresis. Human immunoglobulin and rituximab treatment were performed to decrease the impact of lymphocytotoxic antibodies. The patient survived 498 days after transplantation, 271 in the hospital.
authors: Department of Interventional Cardiology, Provincial Hospital in Szczecin, Poland.
authors: Anna Justyna
authors: AJ
authors: Lesińska
authors: Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Poland.
authors: Maria
authors: M
authors: Piotrowska
authors: Department of General Surgery and Hand Surgery, Pomeranian Medical University in Szczecin, Poland.
authors: Paweł
authors: P
authors: Dec
authors: Department of Intensive Care, A. Sokołowski Specialist Hospital in Szczecin, Poland.
authors: Piotr
authors: P
authors: Wasilewski
authors: Department of Internal Medicine, A. Sokołowski Specialist Hospital in Szczecin, Poland.
authors: Anna
authors: A
authors: Kubisa
authors: Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Poland.
authors: Jarosław
authors: J
authors: Pieróg
authors: Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Poland.
authors: Norbert
authors: N
authors: Wójcik
authors: Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Poland.
authors: Michalina
authors: M
authors: Czarnecka
authors: Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Poland.
authors: Bartosz
authors: B
authors: Kubisa
authors: Department of Thoracic Surgery and Transplantation, Pomeranian Medical University in Szczecin, Poland.
authors: Tomasz
authors: T
authors: Grodzki
keywords: lung transplantation; retrospective positive cross-match