Clinical experience with retrograde lung preservation
1996; Springer Science+Business Media; Volume: 9; Issue: s1 Linguagem: Inglês
10.1111/j.1432-2277.1996.tb01633.x
ISSN1432-2277
AutoresAndés Varela, Carlos Montero, Mar Córdoba, Santiago Serrano-Fiz, R Burgos, J.C. Téllez, Eduardo Tebar, Gabriel Téllez, Juan Ugarte,
Tópico(s)Organ Transplantation Techniques and Outcomes
ResumoTransplant InternationalVolume 9, Issue s1 p. S296-S298 Clinical experience with retrograde lung preservation Andés Varela, Andés Varela Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorCarlos Montero, Carlos Montero Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorMar Córdoba, Mar Córdoba Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorSantiago Serrano-Fiz, Santiago Serrano-Fiz Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorRaúl Burgos, Raúl Burgos Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorJuan Carlos Téllez, Juan Carlos Téllez Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorEduardo Tebar, Eduardo Tebar Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorGabriél Tellez, Gabriél Tellez Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorJuan Ugarte, Juan Ugarte Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this author Andés Varela, Andés Varela Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorCarlos Montero, Carlos Montero Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorMar Córdoba, Mar Córdoba Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorSantiago Serrano-Fiz, Santiago Serrano-Fiz Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorRaúl Burgos, Raúl Burgos Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorJuan Carlos Téllez, Juan Carlos Téllez Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorEduardo Tebar, Eduardo Tebar Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorGabriél Tellez, Gabriél Tellez Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this authorJuan Ugarte, Juan Ugarte Division of Thoracic and Cardiovascular Surgery, Puerta de Hierro Hospital, c/San Martin de Porres 4, E-28035 Madrid, SpainSearch for more papers by this author First published: August 1996 https://doi.org/10.1111/j.1432-2277.1996.tb01633.xCitations: 13AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Abstract Previous reports and our own experimental work suggest increased vascularity of the tracheo-bronchial wall when retrograde lung preservation is used. This principle was clinically applied in 21 consecutive lung transplant recipients (10 single and 11 bilateral). Lung preservation was achieved via the left atrial appendage and drainage was obtained through the pulmonary artery. Pneumoplegic preservation was achieved with modified Euro-Collins solution. Cardioplegia was induced by the standard method and the heart, harvested by different teams, did not exhibit left ventricular dilatation. Thirty-two bronchial anastomoses without wrapping were performed. No primary lung graft failure was documented. Cardiopul-monary bypass was instituted in three cases of pulmonary hypertension; however, this was deemed unnecessary in the remainder of the cases of bilateral transplantation while the second organ was being implanted. All bronchial anastomoses were followed between 2 and 28 months. A single instance of bronchial anastomosis dehiscence was observed on the 30th postoperative day. However, no stents were employed in this series, and no strictures or anastomotic granulomas have been reported so far. All the hearts could be used satisfactorily except for one primary graft failure. In conclusion, retrograde lung preservation is feasible in clinical lung transplantation, with simultaneous harvesting of the heart. The impact of retrograde lung preservation on the late clinical outcome remains to be seen. Citing Literature Volume9, Issues1August 1996Pages S296-S298 RelatedInformation
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