Trasplante pulmonar en niños y adolescentes: Experiencia Clínica Las Condes

Abstract

Objective: To assess the outcome of patients ≤ 20 years old subjected to lung transplantation. Methods: Retrospective analysis of clinical records of these patients at Las Condes Clinic, Santiago de Chile. Results: Ten patients ≤ 20 years old have been subjected to lung transplantation. The median age at transplant was 15.8 years. The main indication was cystic fibrosis in 8 patients. The average baseline FEV1 was 31.3% of its reference value with progressive improvement in FEV1 being 76,3% after one year and 75,3% after two years, Early complications were infections and rejection. Late complications were mainly viral infections. Six patients achieved to continue their studies. Survival rate at 30 days, 1 and 5 years were 80, 70 and 58% respectively. Conclusion: Lung transplantation is an alternative for children and adolescents with advanced lung disease with acceptable results in long-term survival.