Bilateral lobal lung transplantation on ECMO in jehovah's witness patient

Hintergrund: The present case reports the challenging perioperative management of bilateral lobar lung transplantation on ECMO for a Jehova's Witness patient. Material und Methoden: 42 Jehova's Witness patient (157 cm, 64 kg), was listed for unilateral lung transplantation because of end stage non-specific interstitial pneumonia in November 2015. Because of clinical deterioration of the patient with the rare blood group AB, we accepted an organ offer of a donor with substantial size mismatch (+27 cm) and changed our initial strategy to bilateral lobar transplant on ECMO. Given the particular situation of Jehovah…