Simultaneous single lobar lung transplantation and contralateral lung volume reduction

Lung transplantation (LTx) and lung volume reduction surgery are established therapies for end-stage chronic obstructive pulmonary disease. Although native lung hyperinflation is a well-known complication of unilateral LTx for chronic obstructive pulmonary disease, the unilateral procedure continues to be performed because of severe shortages of cadaveric donors. As native lung hyperinflation can adversely affect the graft, all possible protection should be provided for patients with one-lobe transplantation. We report an emphysematous juvenile patient who successfully underwent simultaneous living-donor, single-lobe LTx and volume reduction in the contralateral lung.

Automated summary

Lung transplantation and lung volume reduction surgery are established therapies for end-stage chronic obstructive pulmonary disease. Despite the known risk of native lung hyperinflation, unilateral lung transplantation continues due to severe shortages of cadaveric donors. Therefore, all possible protection should be provided to prevent adverse effects on the graft.