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Norihisa Shigemura
Stacey Brann
Jay Bhama
Christian Bermudez
Brack G. Hattler
Yoshiya Toyoda
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Right arrow Lung - transplantation

J Thorac Cardiovasc Surg 2010;139:e47-e48
© 2010 The American Association for Thoracic Surgery

Brief Clinical Report

Successful lung transplantation in an octogenarian

Norihisa Shigemura, MD*, Stacey Brann, MD, Susan Wasson, CRNP, Jay Bhama, MD, Christian Bermudez, MD, Brack G. Hattler, MD, Bruce Johnson, MD, Maria Crespo, MD, Joseph Pilewski, MD, Yoshiya Toyoda, MD

Cardiopulmonary Transplantation, University of Pittsburgh Medical Center, Pittsburgh, Pa

Received for publication January 21, 2008; revisions received May 26, 2008; accepted for publication June 22, 2008.

* Address for reprints: Norihisa Shigemura, MD, Department of Thoracic Surgery, Osaka University Graduate School of Medicine, L5, 2-2 Yamada-oka, Suita, Osaka, 565-0871 Japan. (Email: shigemura@thoracic.med.osaka-u.ac.jp).

The first 20% of the full text of this article appears below.


   Introduction
 
Advanced recipient age continues to be used as an exclusion criterion for lung transplantation.1Go However, given the changing age demographics in most developed countries, redefinition of the appropriate recipient age limit for lung transplantation is needed because it has become an established therapeutic option with acceptable mortality for end-stage lung diseases. Given those conditions, we recently have expanded our criteria for both recipients and donors in lung transplantation.2Go We present the case of an 81-year-old man with idiopathic pulmonary fibrosis (IPF) who is the oldest known successful lung transplant recipient reported.


   Clinical Summary
 
An 81-year-old man who had been an active businessman and enjoyed golf after retirement was given a diagnosis of IPF in 2005 and treated with oral steroids and azathioprine. He became oxygen dependent and severely limited in activities of daily living (from Fletcher Hugh–Jones criteria 4 to 5). After failing all other therapeutic initiatives, he was referred to one major medical center in the United States for lung transplantation evaluation. However, because of his advanced age, he was declined and referred to our center to re-evaluate his lung transplantation candidacy. Although . . . [Full Text of this Article]






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