A single left lung transplantation was performed on a 48-year-old male with end-stage idiopathic pulmonary fibrosis in February 1995. The surgical technic used was similar to that mentioned in the literature. The donor lung was perfused by cold Euro-Collins solution with a cold ischemic time of 190 minutes. Cardiopulmonary bypass was not used. The patient weaned from ventilator on the next day of operation (22 hours). Immunosuppression included cyclosporine, azathioprine and corticosteroid using until now and antithymocytic globuline for five days. Three episodes of acute rejection occurred within three months after operation, and all cured by bolus methyl-prednisolone given intravenously. The patient remains well nine months after operation with significant improvement of lung function and enjoies normal life.
Graft Rejection Humans