Oxigenacion con membrana extracorporea en la disfuncion primaria del injerto en trasplante bipulmonar pediatrico: a proposito de un caso.

Autores de IIS La Fe

• Marta López Cantero

  Autor

• Rosario Vicente Guillen

  Autor

• Fuencisla Ramos Fortea

  Autor

• Juan Porta Martín

  Autor

• Salvador Torregrosa Puerta

  Autor

Participantes ajenos a IIS La Fe

• Grisolía AL
• Moreno I

Grupos

• Regeneración y Trasplante Cardíaco

Abstract

Primary graft dysfunction is a leading cause of morbimortality in the immediate postoperative period of patients undergoing lung transplantation. Among the treatment options are: lung protective ventilatory strategies, nitric oxide, lung surfactant therapy, and supportive treatment with extracorporeal membrane oxygenation (ECMO) as a bridge to recovery of lung function or re-transplant. We report the case of a 9-year-old girl affected by cystic fibrosis who underwent double-lung transplantation complicated with a severe primary graft dysfunction in the immediate postoperative period and refractory to standard therapies. Due to development of multiple organ failure, it was decided to insert arteriovenous ECMO catheters (pulmonary artery-right atrium). The postoperative course was satisfactory, allowing withdrawal of ECMO on the 5th post-surgical day. Currently the patient survives free of rejection and with an excellent quality of life after 600 days of follow up.

Keywords

• Calidad de vida; Complicaciones; Complications; Cystic fibrosis; Disfuncion primaria del injerto; Extracorporeal membrane oxygenator; Fibrosis quistica; Lung transplantation; Oxigenador de membrana extracorporeo; Paediatrics; Pediatria; Primary graft dysfunction; Quality of life; Trasplante pulmonar