曾接受过心肺移植手术的患者因患侵袭性肺孢子虫病而重新接受双侧肺移植手术

JHLT Open Pub Date : 2025-04-01 DOI:10.1016/j.jhlto.2025.100247

Akshay Chauhan MBBS , Nischal Ranganath MD, PhD , John P. Scott MD , Paschalis Vergidis MD , Anja C. Roden MD , Philip J. Spencer MD , Mauricio A. Villavicencio MD , Richard C. Daly MD , Sahar A. Saddoughi MD, PhD

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引用次数: 0

摘要

在以往的心肺移植手术中，双侧肺移植是一种罕见的手术。我们描述了我们的手术和医疗管理经验的心脏移植受者谁发展慢性肺移植功能障碍和侵袭性尖精子梭菌感染。患者接受了双侧肺移植，随后长期吸入伏立康唑、卡泊芬净和奥洛芬联合治疗。我们没有观察到支气管吻合愈合的问题，患者在1年的随访中表现良好。本报告概述了一个成功的管理方法，以这种罕见的并发症的心肺移植受者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Redo bilateral lung transplantation in a previous heart-lung transplant recipient for invasive pulmonary scedosporiosis

Redo-bilateral lung transplant in previous heart-lung transplant is a rare operation. We describe our surgical and medical management experience with a heart-lung transplant recipient who developed chronic lung allograft dysfunction and invasive Scedosporium apiospermum infection. The patient underwent a redo-bilateral lung transplant followed by a combination of inhaled voriconazole, caspofungin, and olorofim for a prolonged period. We observed no issues with bronchial anastomosis healing, and the patient is doing well on 1-year follow-up. This report outlines a successful management approach to this rare complication of heart-lung transplant recipients.

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JHLT Open

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