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Surgical considerations in infant lung transplantation: Challenges and opportunities
Author(s) -
Costello John P.,
Carvajal Horacio G.,
Abarbanell Aaron M.,
Eghtesady Pirooz,
Nath Dilip S.
Publication year - 2021
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.16282
Subject(s) - medicine , lung transplantation , transplantation , surgery , revascularization , lung , intensive care medicine , lung disease , myocardial infarction
Lung transplantation is a crucial component in the treatment of end‐stage lung disease in infants. Traditionally, most lung transplants have been performed in older children and adults, resulting in a scarcity of data for infant patients. To address the challenges unique to this age group, novel strategies to provide the best preoperative, intraoperative, and postoperative care for these youngest patients are paramount. We review recent advances in bridge‐to‐transplantation therapy, including the use of a paracorporeal lung assist device, and differences in surgical technique, including bronchial artery revascularization, for incorporation into the overarching treatment strategy for infants undergoing lung transplantation.