Combined Lung-Liver and Delayed Kidney Transplantation for Cystic Fibrosis Clinical Approach and Outcome: A Case Report

Theodore Zhang, M. Brent Price, Nicole Bravo, Joshua A. Villarreal, Michael L. Kueht, John Moore Vierling, Ronald Cotton, Thao Galvan, Christine Ann O'Mahony, John A. Goss, Abbas Rana

Research output: Contribution to journalArticle

Abstract

Reports on the long-term outcomes and immunosuppressive regimens of multiorgan transplant patients are limited. Here, we describe a patient with cystic fibrosis complicated by multiorgan failure who was successfully treated with combined liver lung transplant and delayed kidney transplant, resulting in excellent outcomes. Delayed kidney transplant was done to reduce the operative stress of a single procedure, giving time for adequate resuscitation and weaning from vasopressors. Our patient's postoperative course was complicated by post-transplant lymphoproliferative disease, which was successfully treated with rituximab and reduced dosages of immunosuppression.

Original languageEnglish (US)
JournalTransplantation proceedings
DOIs
StateAccepted/In press - 2020
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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    Zhang, T., Price, M. B., Bravo, N., Villarreal, J. A., Kueht, M. L., Vierling, J. M., Cotton, R., Galvan, T., O'Mahony, C. A., Goss, J. A., & Rana, A. (Accepted/In press). Combined Lung-Liver and Delayed Kidney Transplantation for Cystic Fibrosis Clinical Approach and Outcome: A Case Report. Transplantation proceedings. https://doi.org/10.1016/j.transproceed.2020.02.154