Korean J Anesthesiol.  1998 Feb;34(2):453-456. 10.4097/kjae.1998.34.2.453.

Anesthetic Considerations in the Bilateral Sequential Lung Transplantation: A case report

• Oh YS
• Park YS
• Whang JW

• KMID: 2236893
• DOI: http://doi.org/10.4097/kjae.1998.34.2.453

Abstract

A 33 year old woman with tuberous sclerosis and pulmonary lymphangiomyomatosis was undertaken bilateral sequential lung transplantation. Due to the progressive dyspnea and recurrent pneumothorax, she could not handle her normal daily life without oxygen supplements. The natural history of a patient with tuberous sclerosis and symptomatic lung involvement says the mean expected survival is 4 years. Such guidelines as severe obstructive lung disease, unavailable medical therapy, substantial limitation in activities of daily living, and limited life expectancy made her be a recipient of lung transplantation expecting both prolongation of life and the better quality of life. In this transplantation case, we have experienced such delicate problems as gross ventilation-perfusion mismatch, reperfusion pulmonary edema, much decreased renal function, etc.

Keyword

Transplantations: lung

MeSH Terms

Activities of Daily Living
Adult
Dyspnea
Female
Humans
Life Expectancy
Life Support Care
Lung Diseases, Obstructive
Lung Transplantation*
Lung*
Lymphangioleiomyomatosis
Natural History
Oxygen
Pneumothorax
Pulmonary Edema
Quality of Life
Reperfusion
Tuberous Sclerosis
Oxygen