Combined Single Lung and Liver Transplantation in a Cystic Fibrosis Patient With Previous Contralateral Pneumonectomy: A Case Report.

Combined lung-liver transplantation is a rare life-saving procedure to treat concomitant end-stage lung and liver failure. In this report, we describe the first published case of single lung and liver transplantation in a cystic fibrosis patient who had previously undergone a pneumonectomy for the treatment of an infected and destroyed right lung. We detail the lung first, sequential transplant procedure and surgical difficulties due to mediastinal shift.

Extracorporeal life support for primary graft dysfunction after heart transplantation.

Objectives: Survival after heart transplantation is steadily improving but primary graft dysfunction (PGD) is still a leading cause of death. Medical management seems useful in mild or moderate PGD, whereas extracorporeal life support (ECLS) could be suggested for severe PGD refractory to conventional treatment. Our aim is to present the results of ECLS for PGD after heart transplantation at a single-centre experience.

Successful cardiac resynchronization therapy after cardiac surgery.

Cardiac resynchronization therapy improves symptoms and survival in chronic heart failure patients, but has been poorly studied in the acute heart failure setting. We report the case of successful cardiac resynchronization therapy in the early postoperative period after cardiac surgery in a patient with left bundle branch block and proven ventricular dyssynchrony.

[Mechanical circulation assistance. Changes in techniques and concepts. Implication of anesthesia/resuscitation on patient management. Retrospective study on 159 cases].

Since the first case in 1987, 159 patients underwent heart mechanical assist device as a bridge to transplantation or as potential post transplanted recovery (right ventricular failure or graft failure) or in case of unsuccessful weaning of cardiopulmonary bypass. Survival rate of patients under assist device waiting either for heart transplantation or for functional recovery was 75.4%.