CASE 8—2014Anesthetic Management of Bilateral Lung Transplantation From Donor Lungs Managed by the Organ Care System

Abstract

A 57-YEAR-OLD MAN with medical history significant for end-stage lung disease and pulmonary arterial hypertension secondary to nonspecific interstitial pneumonia and progressive limited systemic sclerosis presented for bilateral lung transplantation. Previous management included mycophenolate, prednisone, treprostinil, and sildenafil. His pretransplant transthoracic echocardiogram revealed a preserved left ventricular ejection fraction of 65% with high estimated right ventricular systolic pressures between 109-116 mmHg. Cardiac catheterization confirmed elevated pulmonary arterial (PA) pressures, 102/40/63 mmHg, with a pulmonary artery occlusion pressure of 11 mmHg and a cardiac index of 2.3 L/min/m2. There was no significant coronary artery disease. The patient was randomized to be transplanted with donor lungs managed by the Organ Care System (OCS) (TransMedics Inc, Andover, MA), the first such transplantation in the United States. Erratum to the August 2014 issue of the Journal of Cardiothoracic and Vascular Anesthesia: J Cardiothorac Vasc Anesth 28(4), 2015Journal of Cardiothoracic and Vascular AnesthesiaVol. 29Issue 4PreviewIt was discovered that the original online version of the issue contained errors in pagination. The Publisher decided to ‘resupply’ (repost and replace) the XML and online PDF of the issue. The print version of the issue contained the correct folios at the time of printing. Full-Text PDF