TY - JOUR AU - Rottoli, Paola AU - Cameli, Paolo AU - Bennett, David AU - Fossi, Antonella AU - Bargagli, Elena AU - Lorenzetti, Victoria PY - 2018 DA - 2018/12/18 TI - Alpha-1 Antitrypsin Deficiency and Lung Transplantation: A Clinical Case JO - OBM Transplantation SP - 033 VL - 02 IS - 04 AB - Background: Alpha-1-antitrypsin (AAT) deficiency is the most common hereditary disorder in adults and is associated with an increased risk of developing lung emphysema. Methods:Here, we report the case of a 54-year-old man, who underwent bilateral lung transplantation due to AAT deficiency emphysema in the general hospital of Siena, Italy. Results:The patient was diagnosed with partial AAT deficiency (189 mg/dL) associated with the PIMZ genotype; although he quit smoking, his lung disease progressed to chronic respiratory failure. The patient received a lung transplant and was alive 10 months later. Conclusions:We consider this to be an interesting clinical case regarding the opportunity to implement augmentation therapy, not only to preserve native lungs, but also to prevent chronic lung allograft dysfunction. SN - 2577-5820 UR - https://doi.org/10.21926/obm.transplant.1804033 DO - 10.21926/obm.transplant.1804033 ID - Rottoli2018 ER -