Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosis

Abstract Scoliotic deformity represents a serious spinal disorder that influences the locomotive and cardiopulmonary systems. Some patients with severe scoliosis and end-stage lung disease are therefore denied lung transplantation. In patients with scoliosis considering lung transplantation, size ma...

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Main Authors: Monika Svorcova, Jiri Vachtenheim, Jan Simonek, Jaromir Vajter, Zuzana Prikrylova, Jan Kolarik, Jiri Pozniak, Jan Havlin, Robert Lischke
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-025-03345-6
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author Monika Svorcova
Jiri Vachtenheim
Jan Simonek
Jaromir Vajter
Zuzana Prikrylova
Jan Kolarik
Jiri Pozniak
Jan Havlin
Robert Lischke
author_facet Monika Svorcova
Jiri Vachtenheim
Jan Simonek
Jaromir Vajter
Zuzana Prikrylova
Jan Kolarik
Jiri Pozniak
Jan Havlin
Robert Lischke
author_sort Monika Svorcova
collection DOAJ
description Abstract Scoliotic deformity represents a serious spinal disorder that influences the locomotive and cardiopulmonary systems. Some patients with severe scoliosis and end-stage lung disease are therefore denied lung transplantation. In patients with scoliosis considering lung transplantation, size match, straight back syndrome, delayed chest closure and bronchial stenosis are key issues clinicians should evaluate. Therefore, it is vital to determine donor-recipient size matches very precisely. Chest opening is a routine intraoperative primary therapeutic procedure after lung transplantation in unstable patients with oversized transplanted lungs. Postoperative bronchial stenosis occurs predominantly on the right side and is usually handled through interventional bronchoscopy and the insertion of stents. This report describes the complex case of a patient with scoliosis who underwent lobar transplantation in our center.
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institution Kabale University
issn 1749-8090
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series Journal of Cardiothoracic Surgery
spelling doaj-art-6dd2cd31628340faaef7c4ec9ef53e172025-02-02T12:42:14ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011810.1186/s13019-025-03345-6Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosisMonika Svorcova0Jiri Vachtenheim1Jan Simonek2Jaromir Vajter3Zuzana Prikrylova4Jan Kolarik5Jiri Pozniak6Jan Havlin7Robert Lischke8Prague Lung Transplant Program, 3rd Department of Surgery, First Faculty of Medicine, Charles University and Motol University HospitalPrague Lung Transplant Program, 3rd Department of Surgery, First Faculty of Medicine, Charles University and Motol University HospitalPrague Lung Transplant Program, 3rd Department of Surgery, First Faculty of Medicine, Charles University and Motol University HospitalDepartment of Anesthesiology and Intensive Care Medicine, Second Faculty of Medicine, Charles University and Motol University HospitalDepartment of Anesthesiology and Intensive Care Medicine, Second Faculty of Medicine, Charles University and Motol University HospitalPrague Lung Transplant Program, 3rd Department of Surgery, First Faculty of Medicine, Charles University and Motol University HospitalPrague Lung Transplant Program, 3rd Department of Surgery, First Faculty of Medicine, Charles University and Motol University HospitalPrague Lung Transplant Program, 3rd Department of Surgery, First Faculty of Medicine, Charles University and Motol University HospitalPrague Lung Transplant Program, 3rd Department of Surgery, First Faculty of Medicine, Charles University and Motol University HospitalAbstract Scoliotic deformity represents a serious spinal disorder that influences the locomotive and cardiopulmonary systems. Some patients with severe scoliosis and end-stage lung disease are therefore denied lung transplantation. In patients with scoliosis considering lung transplantation, size match, straight back syndrome, delayed chest closure and bronchial stenosis are key issues clinicians should evaluate. Therefore, it is vital to determine donor-recipient size matches very precisely. Chest opening is a routine intraoperative primary therapeutic procedure after lung transplantation in unstable patients with oversized transplanted lungs. Postoperative bronchial stenosis occurs predominantly on the right side and is usually handled through interventional bronchoscopy and the insertion of stents. This report describes the complex case of a patient with scoliosis who underwent lobar transplantation in our center.https://doi.org/10.1186/s13019-025-03345-6ScoliosisLung transplantationStraight back syndromeDelayed chest closureBronchial stenosis
spellingShingle Monika Svorcova
Jiri Vachtenheim
Jan Simonek
Jaromir Vajter
Zuzana Prikrylova
Jan Kolarik
Jiri Pozniak
Jan Havlin
Robert Lischke
Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosis
Journal of Cardiothoracic Surgery
Scoliosis
Lung transplantation
Straight back syndrome
Delayed chest closure
Bronchial stenosis
title Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosis
title_full Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosis
title_fullStr Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosis
title_full_unstemmed Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosis
title_short Lobar lung transplantation, followed by partial sternal resection and bronchial stenosis, in a patient with scoliosis
title_sort lobar lung transplantation followed by partial sternal resection and bronchial stenosis in a patient with scoliosis
topic Scoliosis
Lung transplantation
Straight back syndrome
Delayed chest closure
Bronchial stenosis
url https://doi.org/10.1186/s13019-025-03345-6
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