T. Degiacomo et al., LUNG TRANSPLANTATION FOR CYSTIC-FIBROSIS - EXPERIENCE OF UNIVERSITA-DI-ROMA-LA-SAPIENZA, Rivista italiana di pediatria, 24(2), 1998, pp. 27-31
Cystic fibrosis (CF) is the most common genetic disorder in the white
population and although the disease involves several organs, about 90%
of the patients die of pulmonary insufficiency. Lung transplantation
may offer gook results in term of better survival and quality of life.
At University of Roma <<La Sapiena>>, between November 1996 and Febru
ary 1998, 13 patients with cystic fibrosis and pulmonary insufficiency
were transplanted. Nine patients were female and 4 male with a mean a
ge of 27 +/- 5,6 years. The mean forced expiratory volume in 1 second
(FEV1) was 20,4 +/- 5% predicted. Bilateral sequential transplantation
was performed. No intraoperative complications occurred. Two patients
dies respectively after 15 and 45 days after transplantation. Eleven
patients are alive and well after a mean follow-up of 10,5 months (ran
ge from 5 to 16 months). Two patients developed complications of the b
ronchial anastomosis successfully treated by laser and endobronchial s
tents positioning. In 5 cases we observed early or delayed dehiscence
of the surgical wound. Minor complications also occurred. All complica
tions resolved with the appropriate therapy. The mean length of hospit
al stay was 28,56 days, ranging between 19 and 36 days. Pulmonary func
tion test improved dramatically as well as the quality of life. Until
now, no patients present evidence of obliterative bronchiolitis. Our e
xperience contributes to emphasize the importance of lung transplantat
ion in this subset of patients.