Peace and Puerta de Hierro carried out successfully the first lung transplant child Madrid.

-The La Paz Hospital already performs all types of transplantation of children’s organs accredited in Spain

Madrid, January of 2013- the hospital Puerta de Hierro – Majadahonda and La Paz have successfully performed the first lung transplant child Madrid, so this community already has all the transplant programs for adults and children accredited in Spain. Transplant was conducted last December 16 th at a 13-year-old boy born in the La Paz Hospital and diagnosed with cystic fibrosis at 6 months. Since then is followed by the pediatric pulmonology and gastroenterology services.

The transplant has been possible thanks to the joint project between La Paz University Hospital and the Hospital Universitario door of iron Majadahonda create a holistic programme of infant lung transplant in order to extend the offer and improve the quality of care children. Two centers, two belonging to the community of Madrid teams, joining its quality, capacity and experience to offer the possibility of healing children with severe lung disease at the national level.

with the realization of this transplant of Madrid becomes the first Spanish region to perform all types of organ transplantation, adult and children’s, accredited to our country by the national transplant organisation.

Hospital La Paz is Center of national and international reference in the treatment of children. Both in the surgery in pediatric specialties area, is a centre that is situated at the forefront of assistance to child health. Since 1986 it is reference in the Pediatric transplant center and offers all programs accredited in Spain.

The Hospital Puerta de Hierro has lung transplant whose experience, activity unit and dedication makes its results put to this facility among the best internationally. It should be noted his continuous research work for the optimization of donor organs, being reference in former preservation techniques alive and lung transplantation of organs in asystole.

Nearly seven hours of transplantation

The night of December 15 the extraction team formed by two Thoracic Surgeons of the iron gate Hospital and a pediatric surgeon in La Paz moved to the hospital where the donation occurred.

Simultaneously the team of Pediatric Pneumology was preparing the patient for intervention. The patient went on to operating room at 06: 50 hours on December 16, starting the intervention at 08: 40 hours, that moment arrived extraction equipment. He was a sequential bipulmonar transplant without any support by using extracorporeal circulation in which cardiac surgeons of iron gate and children’s Pediatric and cardiovascular surgeons of La Paz also participated. The intervention ended a las 15: 10 hours.

After the first hours in the pediatric intensive care unit with a favorable evolution, the patient was extubated on the morning of December 17. He remained in this unit 17 days being transferred to plant January 2, where is currently.

The disease in the patient especially affect the respiratory system with a progressive deterioration in their quality of life. The need for assisted ventilation was increased up to prevent you from performing daily life activities such as attending school or simply walk. The deterioration of his clinical situation and ventilatory parameters, became you a transplant candidate in 2011, first at the Hospital Vall d ’ Hebron in Barcelona and from October 2012 in La Paz, moment in which will start officially the iron Paz-Puerta children’s lung transplant program.

It should be noted a historical fact, and is that already in 1986 both centres worked together to create the child liver transplant program in the La Paz Hospital, forming a group that worked together for ten years. The current union is based on the American model of partnership between centers specialists in transplantation of adult and pediatric centers. The Puerta de Hierro – La Paz Association began in 2011 when both schools began to work on this project reaching its culmination with the completion in December of the first infant lung transplant in the community of Madrid.

the transplantation team, coordinated by Dr. Andrés Varela hospital Puerta de Hierro, was formed by professionals of surgery sea Córdoba, José Luis Campo, Silvana Crowley, Lidia Macías, Daniel Valdivia, Lucas Hoyos (P.Hierro) Francisco Hernández and Carlos de la Torre (La Paz); Anesthesiology Emilio Rodríguez and Esperanza Jiménez (peace) and Ana González (p. iron); of Neumologichild María Isabel Barrio and Olga de la Serna, surgery Cardiovascular child of Juvenal King peace and Francisco Javier Segura (perfusionist); Cristina Verdú and Juan Menendez pediatric intensive care and surgical Maria Teresa Valley, Raquel Peiró, Cristina Suarez, Marta Aranda and Almudena Gutierrez.