دورية أكاديمية
Technical Challenges in Lung Transplantation of Kartagener Syndrome Recipients: A Unique Team Experience With 12 Patients.
| العنوان: | Technical Challenges in Lung Transplantation of Kartagener Syndrome Recipients: A Unique Team Experience With 12 Patients. |
|---|---|
| المؤلفون: | de Castro CCB; Lung Transplantation Division, Thoracic Surgery Department, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Dos Reis FP; Lung Transplantation Division, Thoracic Surgery Department, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., de Carvalho GVS; Lung Transplantation Division, Thoracic Surgery Department, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Fernandes LM; Lung Transplantation Division, Thoracic Surgery Department, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Lung Transplantation Department, Hospital Israelita Albert Einstein, São Paulo, Brazil., Abdalla LG; Lung Transplantation Division, Thoracic Surgery Department, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Lung Transplantation Department, Hospital Israelita Albert Einstein, São Paulo, Brazil., Samano MN; Lung Transplantation Division, Thoracic Surgery Department, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Lung Transplantation Department, Hospital Israelita Albert Einstein, São Paulo, Brazil. Electronic address: marcos.samano@incor.usp.br., Júnior JEA; Lung Transplantation Department, Hospital Israelita Albert Einstein, São Paulo, Brazil., Pêgo-Fernandes PM; Lung Transplantation Division, Thoracic Surgery Department, Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Lung Transplantation Department, Hospital Israelita Albert Einstein, São Paulo, Brazil. |
| المصدر: | Transplantation proceedings [Transplant Proc] 2020 Jun; Vol. 52 (5), pp. 1384-1387. Date of Electronic Publication: 2020 Apr 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Inc Country of Publication: United States NLM ID: 0243532 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2623 (Electronic) Linking ISSN: 00411345 NLM ISO Abbreviation: Transplant Proc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, N.Y. : Elsevier Science Inc. Original Publication: New York Stratton. |
| مواضيع طبية MeSH: | Kartagener Syndrome/*surgery , Lung Transplantation/*methods, Adult ; Female ; Humans ; Kartagener Syndrome/complications ; Male ; Middle Aged ; Retrospective Studies |
| مستخلص: | Kartagener syndrome (KS) is a rare congenital disorder related to bronchiectasis, chronic sinusitis, and situs inversus, predisposing patients to recurrent respiratory infections that can evolve to end-stage lung disease; lung transplantation (LTx) is one of the therapeutic options. This study highlights some concerns in this group of patients, mainly related to the difficulty of performing the transplantation in recipients with suppurative disease and situs inversus. We conducted a retrospective analysis of all KS patients who underwent LTx at 2 national reference centers by the same LTx team. During 29 years of analysis, we performed 12 cases of bilateral sequential LTx in KS patients, representing 2.4% of all Ltx that we performed. Special perioperative care is needed, including vascular access sites and lung isolation techniques; operative concerns include the arteriotomy and bronchotomy during the back table preparation of the graft and concern about the length of the arterial and bronchial anastomosis. We found a higher incidence of bronchial complications is this group that had not been previously reported. Bilateral sequential orthotopic LTx is feasible in this group of patients, and more studies are needed to understand possible reasons for the apparent higher incidence of bronchial complications. (Copyright © 2020. Published by Elsevier Inc.) |
| تواريخ الأحداث: | Date Created: 20200418 Date Completed: 20201020 Latest Revision: 20201020 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.transproceed.2020.02.031 |
| PMID: | 32299703 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1873-2623 |
|---|---|
| DOI: | 10.1016/j.transproceed.2020.02.031 |