Use of Ex-Vivo Lung Perfusion for Planned Left Single-Lung Transplant

Aravind Krishnan, MD; Elbert Heng, MD; Chawannuch Ruaengsri, MD; Amit Banga, MD; Brandon A. Guenthart, MD; Y. Joseph Woo, MD; John Ward MacArthur, MD

Annals of Thoracic Surgery Short Reports (Mar 2025)

Use of Ex-Vivo Lung Perfusion for Planned Left Single-Lung Transplant

Aravind Krishnan, MD,
Elbert Heng, MD,
Chawannuch Ruaengsri, MD,
Amit Banga, MD,
Brandon A. Guenthart, MD,
Y. Joseph Woo, MD,
John Ward MacArthur, MD

Affiliations

Aravind Krishnan, MD: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
Elbert Heng, MD: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
Chawannuch Ruaengsri, MD: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
Amit Banga, MD: Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California
Brandon A. Guenthart, MD: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
Y. Joseph Woo, MD: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
John Ward MacArthur, MD: Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California; Address correspondence to Dr MacArthur, Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building CV-235, 300 Pasteur Dr, Stanford, CA 94305-5407.

Journal volume & issue: Vol. 3, no. 1
pp. 247 – 249

Abstract

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The donor shortage in lung transplantation is further exacerbated by the highest organ turn-down rate among all solid organ transplants. Here we present a case of planned single-lung ex-vivo lung perfusion that enabled the use of a single lung for transplantation, that otherwise may have gone unallocated. Creative management of the donor trachea enabled use of both the left and right lungs for separate recipients. Techniques like this may inspire confidence in expansion in use of ex-vivo lung perfusion and a commensurate increase in donor organ utilization for lung transplantation.

Published in Annals of Thoracic Surgery Short Reports

ISSN: 2772-9931 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/annals-of-thoracic-surgery-short-reports

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