First lung transplant in Wuhan for a critical and elderly COVID‐19 patient

Abstract Introduction We report the case of a 65‐year‐old Coronavirus disease 2019 (COVID‐19) patient with pneumonia and subsequent end‐stage pulmonary failure who required 63 days of mechanical ventilation (MV) and 62 days of extracorporeal membrane oxygenation (ECMO). Methods On Day 45, a comprehe...

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Main Authors: Bo Wang, Jie Huang, Micheal Hsin, Jingyu Chen, Huiqing Lin
Format: Article
Language:English
Published: Wiley 2021-12-01
Series:Immunity, Inflammation and Disease
Subjects:
Online Access:https://doi.org/10.1002/iid3.501
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author Bo Wang
Jie Huang
Micheal Hsin
Jingyu Chen
Huiqing Lin
author_facet Bo Wang
Jie Huang
Micheal Hsin
Jingyu Chen
Huiqing Lin
author_sort Bo Wang
collection DOAJ
description Abstract Introduction We report the case of a 65‐year‐old Coronavirus disease 2019 (COVID‐19) patient with pneumonia and subsequent end‐stage pulmonary failure who required 63 days of mechanical ventilation (MV) and 62 days of extracorporeal membrane oxygenation (ECMO). Methods On Day 45, a comprehensive interdisciplinary discussion on the best course of treatment resulted in the general consensus that his lungs would not recover. As such, he was evaluated and listed for a lung transplant. Results We performed a bilateral lung transplant, and the patient was weaned off ECMO and MV postoperatively. This is the first report of lung transplants in patients with COVID‐19 in Wuhan. Conclusions We suggest that a lung transplantation may be a viable treatment for patients with end‐stage pulmonary failure secondary to COVID‐19 in selected situations.
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spelling doaj.art-3f29c702cd014470b207e51fbfc7af282022-12-21T23:12:16ZengWileyImmunity, Inflammation and Disease2050-45272021-12-01941500150710.1002/iid3.501First lung transplant in Wuhan for a critical and elderly COVID‐19 patientBo Wang0Jie Huang1Micheal Hsin2Jingyu Chen3Huiqing Lin4Department of Thoracic Surgery Renmin Hospital of Wuhan University Wuhan Hubei Province ChinaDepartment of Thoracic Surgery Renmin Hospital of Wuhan University Wuhan Hubei Province ChinaDepartment of Cardiothoracic Surgery Queen Mary Hospital Hong Kong ChinaWuxi Lung Transplant Center Wuxi People's Hospital Affiliated to Nanjing Medical University Wuxi Jiangsu ChinaDepartment of Thoracic Surgery Renmin Hospital of Wuhan University Wuhan Hubei Province ChinaAbstract Introduction We report the case of a 65‐year‐old Coronavirus disease 2019 (COVID‐19) patient with pneumonia and subsequent end‐stage pulmonary failure who required 63 days of mechanical ventilation (MV) and 62 days of extracorporeal membrane oxygenation (ECMO). Methods On Day 45, a comprehensive interdisciplinary discussion on the best course of treatment resulted in the general consensus that his lungs would not recover. As such, he was evaluated and listed for a lung transplant. Results We performed a bilateral lung transplant, and the patient was weaned off ECMO and MV postoperatively. This is the first report of lung transplants in patients with COVID‐19 in Wuhan. Conclusions We suggest that a lung transplantation may be a viable treatment for patients with end‐stage pulmonary failure secondary to COVID‐19 in selected situations.https://doi.org/10.1002/iid3.501COVID‐19lung transplantpulmonary failure
spellingShingle Bo Wang
Jie Huang
Micheal Hsin
Jingyu Chen
Huiqing Lin
First lung transplant in Wuhan for a critical and elderly COVID‐19 patient
Immunity, Inflammation and Disease
COVID‐19
lung transplant
pulmonary failure
title First lung transplant in Wuhan for a critical and elderly COVID‐19 patient
title_full First lung transplant in Wuhan for a critical and elderly COVID‐19 patient
title_fullStr First lung transplant in Wuhan for a critical and elderly COVID‐19 patient
title_full_unstemmed First lung transplant in Wuhan for a critical and elderly COVID‐19 patient
title_short First lung transplant in Wuhan for a critical and elderly COVID‐19 patient
title_sort first lung transplant in wuhan for a critical and elderly covid 19 patient
topic COVID‐19
lung transplant
pulmonary failure
url https://doi.org/10.1002/iid3.501
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