Gregor Warnecke1, Axel Haverich. 1. Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany. warnecke.gregor@mhhannover.de
Abstract
PURPOSE OF REVIEW: Re-transplantation of the lung has come of age. Here, we wish to review the recent literature on the topic and discuss clinical implications. RECENT FINDINGS: Many large volume transplant centres routinely perform lung re-transplantation with satisfactory outcomes. The main indication is bronchiolitis obliterans syndrome, that is chronic rejection of a previous lung transplant. Other indications, such as primary graft failure or early airway complications, are regarded with more caution, as outcomes compare less favourably with those following primary transplantation. SUMMARY: Re-transplantation of the lung can be performed safely and with outcomes rivalling those of primary transplants in carefully selected recipients with chronic rejection of a previous transplant.
PURPOSE OF REVIEW: Re-transplantation of the lung has come of age. Here, we wish to review the recent literature on the topic and discuss clinical implications. RECENT FINDINGS: Many large volume transplant centres routinely perform lung re-transplantation with satisfactory outcomes. The main indication is bronchiolitis obliterans syndrome, that is chronic rejection of a previous lung transplant. Other indications, such as primary graft failure or early airway complications, are regarded with more caution, as outcomes compare less favourably with those following primary transplantation. SUMMARY: Re-transplantation of the lung can be performed safely and with outcomes rivalling those of primary transplants in carefully selected recipients with chronic rejection of a previous transplant.
Authors: Saverio La Francesca; Anthony E Ting; Jason Sakamoto; Jessica Rhudy; Nicholas R Bonenfant; Zachary D Borg; Fernanda F Cruz; Meagan Goodwin; Nicholas A Lehman; Jennifer M Taggart; Robert Deans; Daniel J Weiss Journal: Transplant Res Date: 2014-11-01
Authors: Lisa Wickerson; Dmitry Rozenberg; Tania Janaudis-Ferreira; Robin Deliva; Vincent Lo; Gary Beauchamp; Denise Helm; Chaya Gottesman; Polyana Mendes; Luciana Vieira; Margaret Herridge; Lianne G Singer; Sunita Mathur Journal: World J Transplant Date: 2016-09-24