Lung transplantation remains the most problematic and complex

After the death of Nikki Lauda after more than a year of problems due to a lung transplant, we tell you about the most common complications and risks.

El fallecimiento this morning Niki Lauda also focuses on one of the causes of death, the lung transplant he received a year ago, something that did not recover, and that had the worst outcome.

But, Why lung transplants continue to give the worst results in transplanted organs? According to Dr. Landa García, general and digestive surgeon, "lung transplantation can be considered as the Cinderella of organ transplants, its special idiosyncrasy with difficulties in finding suitable donors, for the control of infections and acute rejection. and chronic, not only did they get incorporated into clinical practice late, but even today, their results are not what they want "

Why lung transplants are so complex

The first lung transplant in Spain was done by Dr. Ramón Arcas in 1990, at the Gregorio Marañón Hospital in Madrid. Nowadays, 30 transplants are performed per year, a scarce number due to its technical complexity and the difficulty of finding suitable donors.

Although lung transplantation is still the only life-saving procedure for many terminally ill patients. for its pulmonary disease. The key is the chronic rejection, the main obstacle to achieve better long-term survival results.

The key points to keep in mind are:

Above all, the patient must know that the transplant can provide a better quality of life and a hope of prolonging it, but is not curative.Some patients change a serious lung disease by a clinical situation of chronic immunosuppression, with complications for life.There comes into action the selection of candidates, that you have to compensate to overcome n successful transplant and what they have to pay to overcome after their limitation of survival.The first 72 hours the main cause of mortality is dysfunction or primary failure of the graft.Acute rejection is frequent during the first yearInfections by bacteria and fungi they cause an important mortality during the first year. After the first year, the main cause of mortality is chronic rejection, especially in the form that is known as Obliterating Bronchiolitis Syndrome.

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