Cargando…

Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old

Introduction. On rare occasions, a pneumonectomy needs to be performed after a severe polytrauma. Statistically, this procedure increases the mortality rate to 50%. One option to reduce this high rate could be an organ transplantation if a matching organ can be found. However, the current literature...

Descripción completa

Detalles Bibliográficos
Autores principales: Gräff, Pascal, Bruns, Nico, Kühn, Christian, Krettek, Christian, Haverich, Axel, Wilhelmi, Michaela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8731272/
https://www.ncbi.nlm.nih.gov/pubmed/35003820
http://dx.doi.org/10.1155/2021/5584827
_version_ 1784627322907787264
author Gräff, Pascal
Bruns, Nico
Kühn, Christian
Krettek, Christian
Haverich, Axel
Wilhelmi, Michaela
author_facet Gräff, Pascal
Bruns, Nico
Kühn, Christian
Krettek, Christian
Haverich, Axel
Wilhelmi, Michaela
author_sort Gräff, Pascal
collection PubMed
description Introduction. On rare occasions, a pneumonectomy needs to be performed after a severe polytrauma. Statistically, this procedure increases the mortality rate to 50%. One option to reduce this high rate could be an organ transplantation if a matching organ can be found. However, the current literature lacks any documentation of such a case. One reason for this stems from the fact that regulations for organ transplantation are very restricted and rarely allow exceptions. In addition, the chance for survival of polytraumatized patients in need of organs in the acute phase of the therapy is often quite unsure. Case Presentation. In this paper, we present the case of an 18-year-old patient who was involved in a serious motorcycle accident. His injury severity score was 29, but he suffered from severe bleeding in his lung which made a pneumonectomy necessary. The procedure led to a severe deterioration of his overall condition. An ECMO therapy was initiated, which effectively only slowed the aggravation. Therefore, he was transferred to our clinic where he was stabilized temporarily. A few days later, his situation turned worse. Since he had no other chance of survival, he was scheduled for a lung transplantation and was assigned an organ. After the transplantation, he stabilized quickly and recovered almost completely. Discussion. In this report, we want to show that an exception to the rules for organ transplantation might make sense on rare occasions. However, to increase the chance for any success, patients must be transferred to highly specialized clinics capable of treating patients with severe conditions. This might be the only chance for those patients to survive.
format Online
Article
Text
id pubmed-8731272
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-87312722022-01-06 Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old Gräff, Pascal Bruns, Nico Kühn, Christian Krettek, Christian Haverich, Axel Wilhelmi, Michaela Case Rep Transplant Case Report Introduction. On rare occasions, a pneumonectomy needs to be performed after a severe polytrauma. Statistically, this procedure increases the mortality rate to 50%. One option to reduce this high rate could be an organ transplantation if a matching organ can be found. However, the current literature lacks any documentation of such a case. One reason for this stems from the fact that regulations for organ transplantation are very restricted and rarely allow exceptions. In addition, the chance for survival of polytraumatized patients in need of organs in the acute phase of the therapy is often quite unsure. Case Presentation. In this paper, we present the case of an 18-year-old patient who was involved in a serious motorcycle accident. His injury severity score was 29, but he suffered from severe bleeding in his lung which made a pneumonectomy necessary. The procedure led to a severe deterioration of his overall condition. An ECMO therapy was initiated, which effectively only slowed the aggravation. Therefore, he was transferred to our clinic where he was stabilized temporarily. A few days later, his situation turned worse. Since he had no other chance of survival, he was scheduled for a lung transplantation and was assigned an organ. After the transplantation, he stabilized quickly and recovered almost completely. Discussion. In this report, we want to show that an exception to the rules for organ transplantation might make sense on rare occasions. However, to increase the chance for any success, patients must be transferred to highly specialized clinics capable of treating patients with severe conditions. This might be the only chance for those patients to survive. Hindawi 2021-12-29 /pmc/articles/PMC8731272/ /pubmed/35003820 http://dx.doi.org/10.1155/2021/5584827 Text en Copyright © 2021 Pascal Gräff et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gräff, Pascal
Bruns, Nico
Kühn, Christian
Krettek, Christian
Haverich, Axel
Wilhelmi, Michaela
Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old
title Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old
title_full Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old
title_fullStr Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old
title_full_unstemmed Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old
title_short Lung Transplantation following Emergency Pneumonectomy in a Polytraumatized 18-Year-Old
title_sort lung transplantation following emergency pneumonectomy in a polytraumatized 18-year-old
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8731272/
https://www.ncbi.nlm.nih.gov/pubmed/35003820
http://dx.doi.org/10.1155/2021/5584827
work_keys_str_mv AT graffpascal lungtransplantationfollowingemergencypneumonectomyinapolytraumatized18yearold
AT brunsnico lungtransplantationfollowingemergencypneumonectomyinapolytraumatized18yearold
AT kuhnchristian lungtransplantationfollowingemergencypneumonectomyinapolytraumatized18yearold
AT krettekchristian lungtransplantationfollowingemergencypneumonectomyinapolytraumatized18yearold
AT haverichaxel lungtransplantationfollowingemergencypneumonectomyinapolytraumatized18yearold
AT wilhelmimichaela lungtransplantationfollowingemergencypneumonectomyinapolytraumatized18yearold