Thread by @elisaperego78

More on lung transplant after very severe covid | A last resource | An interview @JAMA_current with Dr Kim MD, and Dr Bharat MD, who performed the first post-covid double lung transplant in US | ~134 surgeries done in US up to May 2021 ❗

#LongCovid 🧵

jamanetwork.com/journals/jama/…

As @maureviv noted in our previous discussion (thanks!) patients considered for lung transplant must be young(ish), in pre-covid excellent health | 65 ys is often a cutoff | complex decision making for inclusion | 82 patients had ARDS | 48 fibrosis | 4 lung failure

#LongCovid

Some patients had been waiting for lung transplant on ECMO for like 5 months | ECMO is the procedure that oxygenate blood outside your body | in autopsies, lung damage from covid can be extreme: this prompted the decision to try lung transplant in the first place

#LongCovid

Lung transplant in covid is a challenge | surgery can take 10--12 hours vs ~6 for the non-covid procedure | prognosis, however, is good |❗a worry is the *degenerative lung fibrosis* seen in some patients pre-transplant: can fibrosis affect survivors long term?

#LongCovid

On cases of post covid lung transplant in Canada see 🔽

https://twitter.com/elisaperego78/status/1456416188712591360?t=KqqjGQ_iIkBX7rMGr3AZHw&s=19

Lung transplant after severe covid is also done in pediatric patients (under 18--21 years)

A case in point is a 17 year-old from Texas, who spent five months in hospital for covid and post-surgery recovery

#LongCovid #LongCovidKids @LongCovidKids

abc7ny.com/covid-vaccine-…