Source:http://linkedlifedata.com/resource/pubmed/id/21766006
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2011-7-18
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pubmed:abstractText |
Background. The outcome of patients undergoing a single-lung transplant in the setting of an aborted bilateral lung transplant is unclear. Methods. A retrospective review of single lung transplants at an institutional program. Results. Of the 543 lung transplants performed over the last 10 years, 31 (5.7%) were single-lung transplants. Nineteen of 31 (61%) were planned single-lung transplants, while 12/31 (39%) were intraoperatively aborted, double lung transplants converted to single-lung transplants. The aborted and planned groups were similar in age, lung allocation score and NYHA status. The reasons for aborted double lung transplantation were cardiac/hemodynamic instability 4/12 (33%), difficult pneumonectomy 3/12 (25%), size mismatch 4/12(33%), and technical issues 1/12 (8%). The aborted group had higher CPB utilization (5/12 versus 1/19, P = .02), similar ischemic times (260 versus 234?min) and similar incidence of grade 3 primary graft dysfunction (6/12 versus 3/19, P = .13). ECMO was required for graft dysfunction in 2 patients in the aborted group. The one and two-year survival was 84% and 79% in the planned group and 62% and 52% in the aborted group, respectively. Conclusions. Patients undergoing single-lung transplantation in the setting of an aborted bilateral lung transplant may be at a higher risk of worse outcomes.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-10391258,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-10616969,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-16143242,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-16162731,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-16297790,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-17258594,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-17258596,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-18355494,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-18707650,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-18765187,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-19782285,
http://linkedlifedata.com/resource/pubmed/commentcorrection/21766006-19949142
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pubmed:language |
eng
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pubmed:journal | |
pubmed:status |
PubMed-not-MEDLINE
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pubmed:issn |
2090-0015
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
2011
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
535649
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pubmed:year |
2011
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pubmed:articleTitle |
Single-lung transplantation in the setting of aborted bilateral lung transplantation.
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pubmed:affiliation |
Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
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pubmed:publicationType |
Journal Article
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