Table 3.
Bilateral lung transplantation, postoperative course, and clinical follow-up in pediatric patients.
| Patients #1–12 | PAH patients undergoing LuTx N = 12  | 
|---|---|
| Bilateral lung transplantation | |
| MCS type during LuTx | VA-ECMO, n = 11; CPB, n = 1 | 
| Associated procedures in the same operation | ASD closure on CPB, n = 2 | 
| Operation time (cut-suture) – hours (range) | 6.6 ± 0.5 (4.6–10.1) | 
| Postoperative course after LuTx | |
| Post-LuTx ECMO-duration – hours (range) | 185 (73–363) | 
| Post-LuTx ventilation time on ECMO – hours | 40 (17–144) | 
| Post-LuTx ventilation time after ECMO-explantation – hours | 2 (0–6) | 
| Tracheostomy (number) | 0 | 
| ICU stay post-LuTx – days | 15 ± 2 (4–32) | 
| In-hospital stay post-LuTx – days | 41 ± 4 (21–62) | 
| Clinical follow-up | |
| Lung function post-LuTx | |
| FEV1 3 months post-LuTx (%), n = 11 | 73 ± 5 (52–106) | 
| FEV1 12 months post-LuTx (%), n = 11 | 83 ± 6 (57–125) | 
| Impeding rejection, number of steroid pulses | 2 ± 0.58 (0–5) | 
| Survival post-LuTx – months (range; % survival) | 61 (26–104; 100% survival) | 
| Number of Re-LuTx – n (%) | 1 (0.08%)a | 
Values are presented as mean ± SEM (range). Survival is indicated according to the end of the follow-up (September 1, 2022).
ASD, atrial septal defect; CPB, cardiopulmonary bypass; FEV1, forced expiratory volume in the first second; ICU, intensive care unit; LuTx, lung transplantation; MCS, mechanical circulatory support; VA-ECMO, veno-arterial extracorporeal membrane oxygenation.
One patient underwent Re-LuTx due to CLAD 3 31 months after initial LuTx (i.e. after the 2-year follow-up period).