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When the Battle is Lost and Won: Delayed Chest Closure After Bilateral Lung Transplantation

Simona Soresi, Anton Sabashnikov, Alexander Weymann, Mohamed Zeriouh, André R. Simon, Aron-Frederik Popov

(Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, Harefield Hospital, Harefield, Middlesex, London, United Kingdom)

Med Sci Monit Basic Res 2015; 21:222-225

DOI: 10.12659/MSMBR.895419

Published: 2015-10-12

ABSTRACT: In this article we summarize benefits of delayed chest closure strategy in lung transplantation, addressing indications, different surgical techniques, and additional perioperative treatment. Delayed chest closure seems to be a valuable and safe strategy in managing patients with various conditions after lung transplantation, such as instable hemodynamics, need for high respiratory pressures, coagulopathy, and size mismatch. Therefore, this approach should be considered in lung transplant centers to give patients time to recover before the chest is closed.

Keywords: Lung Transplantation - methods, Humans, Perioperative Care - methods, Respiratory Function Tests, Time Factors, Transplants - surgery