Left pneumonectomy in a patient with a chronically infected allograft

Olufemi Ayodele Akindipe; Sebastian Fernandez-Bussy; Edward Staples; Maher A Baz

doi:10.1016/j.healun.2007.07.015

Left pneumonectomy in a patient with a chronically infected allograft

J Heart Lung Transplant. 2007 Oct;26(10):1072-4. doi: 10.1016/j.healun.2007.07.015.

Authors

Olufemi Ayodele Akindipe¹, Sebastian Fernandez-Bussy, Edward Staples, Maher A Baz

Affiliation

¹ Division of Pulmonary and Critical Care Medicine, University of Florida School of Medicine, Gainesville, Florida 32610-0395, USA. [email protected]

PMID: 17919631
DOI: 10.1016/j.healun.2007.07.015

Abstract

We describe a young man with cystic fibrosis who underwent bilateral sequential lung transplantation (BSLT) and a subsequent right single-lung re-transplant for bronchiolitis obliterans syndrome (BOS). Destruction of the retained left lung with recurrent pneumonia, worsening bronchiectasis and abscess formation was treated with a left lower lobectomy and a subsequent complete pneumonectomy. The patient tolerated the procedures and is alive and well 18 months after left pneumonectomy. In the setting of BOS, allograft pneumonectomy can be performed safely to remove non-functioning infected tissue.

Publication types

Case Reports

MeSH terms

Abscess / diagnostic imaging
Abscess / etiology
Abscess / surgery
Adult
Bronchiectasis / etiology
Bronchiectasis / surgery
Bronchiolitis Obliterans / etiology
Bronchiolitis Obliterans / surgery
Chronic Disease
Cystic Fibrosis / surgery
Gram-Negative Bacterial Infections / diagnostic imaging
Gram-Negative Bacterial Infections / etiology*
Gram-Negative Bacterial Infections / surgery*
Humans
Lung Diseases / diagnostic imaging
Lung Diseases / etiology*
Lung Diseases / surgery*
Lung Transplantation / adverse effects*
Male
Pneumonectomy*
Pneumonia / etiology
Pneumonia / surgery
Radiography, Thoracic
Retreatment
Tomography, X-Ray Computed
Transplantation, Homologous
Treatment Outcome