When the Battle is Lost and Won: Delayed Chest Closure After Bilateral Lung Transplantation

Med Sci Monit Basic Res. 2015 Oct 12;21:222-5. doi: 10.12659/MSMBR.895419.


In this article we summarize benefits of delayed chest closure strategy in lung transplantation, addressing indications, different surgical techniques, and additional perioperative treatment. Delayed chest closure seems to be a valuable and safe strategy in managing patients with various conditions after lung transplantation, such as instable hemodynamics, need for high respiratory pressures, coagulopathy, and size mismatch. Therefore, this approach should be considered in lung transplant centers to give patients time to recover before the chest is closed.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Humans
  • Lung Transplantation / methods*
  • Perioperative Care / methods
  • Respiratory Function Tests
  • Time Factors
  • Transplants / surgery