Clearance of Hepatitis C Virus Prior to Lung Transplantation: A Case Report.

TitleClearance of Hepatitis C Virus Prior to Lung Transplantation: A Case Report.
Publication TypeJournal Article
Year of Publication2017
JournalTransplantation proceedings
Volume49
Issue7
Pagination1682-1684
Date Published2017 Sep
ISSN0041-1345
AbstractHepatitis C virus (HCV) continues to be considered a relative contraindication to lung transplantation due to concerns of progression of liver disease with the introduction of immunosuppression. Since the recent introduction of effective antiviral therapy for HCV, new approaches in the management of the HCV-positive recipient are being utilized in liver transplantation to clear HCV pre- and post-transplant. Herein, we report use of ledipasvir/sofosbuvir for HCV clearance prior to lung transplantation in a patient with usual interstitial pneumonia. Listing for transplant was delayed until completion of HCV treatment, and he subsequently required extracorporeal membrane oxygenation as a bridge to transplantation due to progressive hypoxia. With antiviral cure rates exceeding 90%, HCV should no longer be considered a relative contraindication to lung transplant, and timing of antiviral treatment should consider the progressive nature of the recipient's lung disease.
URLhttps://linkinghub.elsevier.com/retrieve/pii/S0041-1345(17)30455-4
DOI10.1016/j.transproceed.2017.06.002
PubMed Linkhttp://www.ncbi.nlm.nih.gov/pubmed/28838464?dopt=Abstract
Short TitleTransplant Proc