HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Massard, G. Articles by Noirclerc, M. Search for Related Content PubMed PubMed Citation Articles by Massard, G. Articles by Noirclerc, M.

The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 9-14, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Lung size matching for double lung transplantation based on the submammary thoracic perimeter. Accuracy and functional results. The Joint Marseille-Montreal Lung Transplant Program

G Massard, M Badier, C Guillot, M Reynaud, P Thomas, R Giudicelli and M Noirclerc
Service de Chirurgie Thoracique et Transplantations, Hopital Sainte Marguerite, Marseille, France.

The present study evaluates the accuracy of submammary thoracic perimeter for lung size matching between donor and recipient and analyzes the influence of donor lung size discrepancies on functional outcome after double lung transplantation. The population is composed of 18 double lung graft recipients, 16 of whom had cystic fibrosis. The lung size match was assessed by comparison of predicted total lung capacity of donor and recipient: five patients were matched in a 10% confidence interval; four received smaller lungs, and nine received larger ones. The functional outcome was assessed with the spirometric values measured at 3 and 6 months after transplantation. The final functional result was not influenced by the lung size (r = 0.142 for total lung capacity; r = 0.372 for vital capacity; r = 0.378 for forced expiratory volume in 1 second). For larger lungs the final result tended to the recipient's predicted, whereas for smaller lungs, spirometry tended to the donor's predicted (r = 0.906 for total lung capacity; r = 0.875 for vital capacity; r = 0.874 for forced expiratory volume in 1 second). The thoracotomy effect, that is, restrictive syndrome at 3 months that resolves at 6 months, was not correlated with the lung size (r = 0.07 for total lung capacity; r = 0.436 for vital capacity). It is concluded that respiratory functional result is not affected by larger lungs; despite the wide range of error, the submammary thoracic perimeter appeared to be a satisfactory selection parameter in this group of patients.

This article has been cited by other articles:

				J.P. Ouwens, T.W. van der Mark, W. van der Bij, A. Geertsma, W.J. de Boer, and G.H. Koeter Size matching in lung transplantation using predicted total lung capacity Eur. Respir. J., December 1, 2002; 20(6): 1419 - 1422. [Abstract] [Full Text] [PDF]

				T. Fujita, H. Date, K. Ueda, I. Nagahiro, M. Aoe, A. Andou, and N. Shimizu Experimental study on size matching in a canine living-donor lobar lung transplant model J. Thorac. Cardiovasc. Surg., January 1, 2002; 123(1): 104 - 109. [Abstract] [Full Text] [PDF]

				L. A. Brunsting, F. M. Lupinetti, P. N. Cascade, F. S. Becker, B. D. Daly, F. J. Martinez, J. P. Lynch, R. I. Whyte, E. L. Bove, S. F. Bolling, et al. Pulmonary function in single lung transplantation for chronic obstructive pulmonary disease J. Thorac. Cardiovasc. Surg., May 1, 1994; 107(5): 1337 - 1345. [Abstract] [Full Text]