Abstract
Severe scoliosis causes anatomical distortion of structures in the chest, which raises concerns about donor-recipient size-mismatch in lung transplantation (LT), so that severe scoliosis is considered as an absolute contraindication for LT. Also, postoperative right-side bronchial stenosis is one of the common complications in LT recipients with severe scoliosis. To date, the long-term outcomes in severe scoliosis patients with bronchial stenosis after LT have not been reported. A 14-year-old female patient with scoliosis and interstitial pneumonia underwent bilateral cadaveric LT. Although she developed bronchial stenosis post-LT, necessitating bronchoscopic intervention on three occasions, her lung function and perfusion recovered to the levels recorded prior to development of the obstruction, with the good condition maintained for more than 5 years after the LT. Therefore, while patients with severe scoliosis are at an elevated risk of postoperative transient bronchial stenosis, scoliosis should not always be considered as a contraindication to LT.
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Abbreviations
- LT:
-
Lung transplantation
- CPB:
-
Cardiopulmonary bypass
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This work was supported by a Grant-in-Aid for Scientific Research (Grant no. 20K0917602) from the Japan Society for the Promotion of Science.
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Haruchika Yamamoto and other co-authors have no conflict of interest.
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Yamamoto, H., Otani, S., Miyoshi, K. et al. Long-term clinical follow-up after lung transplantation in patient with scoliosis: a case report. Gen Thorac Cardiovasc Surg 69, 752–755 (2021). https://doi.org/10.1007/s11748-020-01539-4
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DOI: https://doi.org/10.1007/s11748-020-01539-4