Resultados del trasplante pulmonar en pacientes en situación de urgencia

Abstract

Introduction: In Chile, a number of criteria were agreed for emergency lung transplant in order to diminish the mortality of candidates on the waiting list. Objective: To evaluate short-term transplant patients in emergency condition. Methodology: Retrospective analysis of medical records of patients transplanted from January 2012 to July 2015 demographic data, underlying disease, early and late complication, and survival were recorded. Results: Out of 59 patients transplanted in this period, 18 have been in an emergency condition. Underlying pulmonary disease were: pulmonary fibrosis (n = 13), cystic fibrosis (n = 3), bronchiolitis obliterans (1) and pulmonary hypertension (1). The dependence of non invasive mechanical ventilation was the main reason for urgency (89%). 76% required intraoperative extracorporeal support. Survival at 30 days and 12 months was 94 and 87% respectively. Conclusion: Lung transplantation is a short-term emergency procedure with good results in survival.