{"id":23189,"date":"2021-06-21T08:25:13","date_gmt":"2021-06-21T06:25:13","guid":{"rendered":"https:\/\/devhml.givememore.net\/?p=20411"},"modified":"2022-05-02T16:00:48","modified_gmt":"2022-05-02T14:00:48","slug":"double-greffe-du-poumon-chez-un-enfant-de-trois-ans-sur-le-site-de-lhopital-marie-lannelongue","status":"publish","type":"post","link":"https:\/\/devhml.givememore.net\/double-greffe-du-poumon-chez-un-enfant-de-trois-ans-sur-le-site-de-lhopital-marie-lannelongue\/","title":{"rendered":"Double greffe du poumon chez un enfant de trois ans sur le site de l\u2019H\u00f4pital Marie-Lannelongue"},"content":{"rendered":"\n

Le Professeur Dominique Fabre et son \u00e9quipe ont proc\u00e9d\u00e9 \u00e0 cette intervention rare dont la pleine r\u00e9ussite devra encore \u00eatre confirm\u00e9e dans les prochaines semaines. Ce succ\u00e8s plaide pour le don d\u2019organes, dont la Journ\u00e9e Nationale se tient le 22 juin. <\/strong><\/p>\n\n\n\n

La transplantation des deux poumons chez un enfant de trois ans est une intervention tr\u00e8s peu pratiqu\u00e9e en France puisque c\u2019est seulement la 3\u00e8me fois qu\u2019elle a lieu. Le Pr Dominique Fabre, MD, PhD \u00e0 l\u2019H\u00f4pital Marie-Lannelongue, au sein du service Chirurgie Vasculaire et Thoracique – Centre de l\u2019Aorte \/ Transplantation cardio-pulmonaire, a proc\u00e9d\u00e9 \u00e0 cette double greffe la semaine derni\u00e8re avec son \u00e9quipe et en collaboration avec les services de p\u00e9diatrie et pneumologie de l\u2019H\u00f4pital Trousseau.
Le jeune patient, qui se porte tr\u00e8s bien, souffrait d\u2019une maladie d\u00e9g\u00e9n\u00e9rative du poumon et avait fait un arr\u00eat cardiaque dans la semaine pr\u00e9c\u00e9dant l\u2019intervention. Il \u00e9tait depuis plusieurs mois dans l\u2019attente d\u2019une transplantation en super urgence.<\/p>\n\n\n\n

Un geste technique<\/h3>\n\n\n\n

Le premier obstacle pour pouvoir r\u00e9aliser une intervention de ce type est tout d\u2019abord l\u2019accessibilit\u00e9 \u00e0 un greffon de bonne qualit\u00e9 : l\u2019accord des parents d\u2019un jeune donneur est indispensable.<\/p>\n\n\n\n

La difficult\u00e9 du geste est ensuite bien r\u00e9elle : \u00ab C\u2019est une technique que l\u2019on pratique beaucoup chez les adultes et aussi, dans une moindre mesure, chez des adolescents. Mais il est certain que, techniquement, c\u2019est un peu plus difficile car les bronches sont toutes petite<\/em>s \u00bb, explique le professeur Fabre, qui insiste sur le n\u00e9cessaire travail en \u00e9quipe pour mener \u00e0 bien une telle op\u00e9ration.
Au pr\u00e9alable, un de ses assistants s\u2019est ainsi d\u00e9plac\u00e9 dans un autre centre pour proc\u00e9der au pr\u00e9l\u00e8vement du greffon, dont les conditions de conservation doivent \u00eatre optimis\u00e9es : plus la dur\u00e9e d\u2019isch\u00e9mie est courte et meilleurs sont les r\u00e9sultats. De m\u00eame, avant la transplantation, la prise en charge par les anesth\u00e9sistes est importante pour endormir l\u2019enfant dans de bonnes conditions, l\u2019apaiser et ainsi \u00e9viter qu\u2019il ne soit angoiss\u00e9 par la s\u00e9paration avec ses parents. Les deux p\u00e9diatres qui s\u2019occupaient de l\u2019enfant quand il \u00e9tait hospitalis\u00e9 \u00e0 l\u2019H\u00f4pital Trousseau avec des pneumothorax it\u00e9ratifs \u00e9taient par ailleurs pr\u00e9sents pendant l\u2019op\u00e9ration.<\/p>\n\n\n\n

Un besoin de greffons<\/h3>\n\n\n\n

Ce travail collaboratif a \u00e9galement fait intervenir le Dr S\u00e9verine Feuillet, pneumologue et le Dr R\u00e9gine Roussin, chirurgien cardiaque-p\u00e9diatrique \u00e0 l\u2019H\u00f4pital Marie-Lannelongue ainsi que le Dr Nadia Nathan, pneumologue \u00e0 l\u2019H\u00f4pital Trousseau, qui participent actuellement \u00e0 la r\u00e9flexion pour monter en France un programme de transplantation cardiopulmonaire pour les enfants de moins de cinq ans. Sa cr\u00e9ation sera favoris\u00e9e par des succ\u00e8s comme celui que vient de conna\u00eetre le professeur Fabre : \u00ab C\u2019est assez enthousiasmant de pouvoir offrir cela \u00e0 des parents qui sont en attente depuis des mois et qui pensaient que toutes les portes \u00e9taient closes<\/em> \u00bb.
Un tel succ\u00e8s n\u00e9cessite toutefois l\u2019acc\u00e8s \u00e0 des greffons de donneurs jeunes : \u00ab C\u2019est un \u00e9tat d\u2019esprit des familles de faire le choix de donner. Derri\u00e8re un accident, il peut y avoir un enfant sauv\u00e9<\/em> \u00bb. Un message qu\u2019il souhaite faire passer, alors que la Journ\u00e9e nationale de r\u00e9flexion sur le don d\u2019organes et la greffe et de reconnaissance aux donneurs se tiendra le 22 juin.<\/p>\n\n\n\n

Lire le communiqu\u00e9<\/a><\/span><\/strong><\/p>\n\n\n\n

Alix Fournier, charg\u00e9e des relations presse<\/em>
Fabienne Rouhier, directrice des relations presse<\/em>
01 44 12 80 95<\/a> \u2013 presse@ghpsj.fr<\/a><\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Ce succ\u00e8s plaide pour le don d\u2019organes, dont la Journ\u00e9e Nationale se tient le 22 juin.<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"disabled","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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