Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2011-7-18
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.
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
pubmed:language
eng
pubmed:journal
pubmed:status
PubMed-not-MEDLINE
pubmed:issn
2090-0015
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
2011
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
535649
pubmed:year
2011
pubmed:articleTitle
Single-lung transplantation in the setting of aborted bilateral lung transplantation.
pubmed:affiliation
Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
pubmed:publicationType
Journal Article