Third-Time Lung Transplant Using Extended Criteria Lungs

Takahiro Oto, Michael Rowland, Anne P. Griffiths, Bronwyn J. Levvey, Donald S. Esmore, Trevor J. Williams, Gregory I. Snell

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


There is an increasing requirement for lung re-transplants (re-LTx) related to the bronchiolitis obliterans syndrome. Nevertheless, re-LTx, especially second-time re-LTx, poses the dilemma of appropriate allocation of a scarce donor lung resource versus the desire to optimize outcomes for an individual patient. Extended donors have been used to partially alleviate a scarce donor lung supply with satisfactory outcomes for primary lung transplant. However, the usefulness of the extended donors remains unknown, including donation-after-cardiac-death donors for re-LTx. This report describes a second-time re-LTx using significantly extended donor criteria lungs from a Maastricht category IV donation-after-cardiac-death donor with resultant good clinical outcomes.

Original languageEnglish
Pages (from-to)642-644
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number2
Publication statusPublished - Aug 2007
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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