Back to Search
Start Over
Severe scoliosis with an impaired pulmonary allograft function after pediatric unilateral lung transplantation
- Source :
- General thoracic and cardiovascular surgery. 69(2)
- Publication Year :
- 2020
-
Abstract
- Left‐unilateral single‐lobe lung transplantation from a living donor was performed in a 4-year-old boy who suffered from severe respiratory failure caused by bronchiolitis obliterans (BO) as a result of graft versus host disease (GVHD) after peripheral blood stem cell transplantation (PBSCT). The patient grew well during his early childhood years, with an excellent lung allograft function. However, severe thoracic scoliosis occurred 7 years after lung transplantation, which ultimately resulted in compression of the lung allograft followed by severe respiratory dysfunction, and the patient became dependent on mechanical ventilation support. Posterior spinal fusion of Th2‐L3 with instrumentation and bone grafting was performed to correct scoliosis in the hope of recovering his thoracic capacity. The left thoracic volume was dramatically improved immediately after spinal fusion surgery, and the patient was ultimately weaned off of mechanical ventilation after a year of pulmonary rehabilitation.
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
medicine.medical_treatment
Bronchiolitis obliterans
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
medicine
Lung transplantation
Humans
Pulmonary rehabilitation
030212 general & internal medicine
Child
Bronchiolitis Obliterans
Mechanical ventilation
Lung
business.industry
General Medicine
medicine.disease
Allografts
Surgery
Transplantation
surgical procedures, operative
medicine.anatomical_structure
Spinal Fusion
Treatment Outcome
Respiratory failure
Scoliosis
Spinal fusion
Child, Preschool
Cardiology and Cardiovascular Medicine
business
Lung Transplantation
Subjects
Details
- ISSN :
- 18636713
- Volume :
- 69
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- General thoracic and cardiovascular surgery
- Accession number :
- edsair.doi.dedup.....e0851cdadd992cb7f8d8c787082b4486