第57回日本小児循環器学会総会・学術集会

講演情報

International Symposium of Pediatric Heart and Lung Transplantation

Symposium 4
New era of pediatric lung transplantation in the world

2021年7月10日(土) 09:40 〜 11:10 Track6 (現地会場)

Chair:Hiroshi Date(Department of Thoracic Surgery, Kyoto Univeristy Graduate School of Medicine, Japan)
Chair:Stuart Sweet(Department of Pediatrics , Washington University School of Medicine in St.Louis, USA)

[ISPHLT-SY4-4] Current status of pediatric lung transplantation in Japan

Hiroshi Date (Department of Thoracic Surgery, Kyoto University, Japan)

Between 1998 and 2021, lung transplantation has been performed in 861 patients (108 children, 753 adults) at nine lung transplant centers in Japan. CLT was performed in 601 patients (69.8%), LDLLT was performed in 257 patients (29.8%) and Hybrid lung transplantation (LDLLT+CLT) in 3 patients.
Among 108 pediatric patients, only 26 children (24.1%) received CLT and 82 children (75.9%) received LDLLT. For pediatric patients younger than 10 years old, only 11 CLTs was performed due to shortage of pediatric cadaveric donors.
In 26 pediatric patients receiving CLT, the 5-year survival was 77.4%. In 82 pediatric patients receiving LDLLT, the 5 and 10-year survivals were 85.3% and 78.9%, respectively. Although the number of pediatric patients was small, pediatric lung transplant recipients showed a trend toward better long-term survival than adult patients.