Overview
- A 33-year-old developed severe ARDS after influenza complicated by necrotizing bacterial pneumonia, progressing to sepsis, multiorgan failure and a cardiac arrest on arrival.
- Surgeons performed a bilateral pneumonectomy and used a bespoke extracorporeal artificial lung that oxygenated blood, removed carbon dioxide and replaced key pulmonary circulation functions.
- The device stabilized blood pressure and organ function for 48 hours until compatible donor lungs became available, enabling a successful double-lung transplant.
- The case, published January 29, 2026 in Med (Cell Press), includes molecular analyses showing extensive scarring and immune injury consistent with irreversible lung damage in this setting.
- Specialists say the approach currently fits only highly resourced transplant centers, noting a 2016 Toronto precedent for lungless support while highlighting Northwestern’s added replacement of pulmonary circulation as a potential bridge pending standardization.