Background: Lung transplantation in the pediatric population is a challenge. With the donor pool being so small and lungs from young donors rare and precious, every organ available needs to be utilized to its best potential.
Case: Here, we describe the case of a 6-wk-old donor of double lungs to a 5-mo-old baby girl diagnosed with alveolar capillary dysplasia with misalignment of the pulmonary veins. The recipient is doing very well, 6 y after the transplant, now following normal growth.
Discussion: The challenges facing pediatric cardiothoracic transplantation in terms of organ supply and demand are enormous.
Conclusions: In this article, we discuss some of the issues around the shortage of organs and alternatives to increase the organ donor pool.
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