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Case Reports
. 2023 May 23;11(6):e01164.
doi: 10.1002/rcr2.1164. eCollection 2023 Jun.

A hole lot of trouble: Severe bilateral anastomotic dehiscence following bilateral single sequential lung transplant

Cameron White  1   2   3 , Alice Stuart  1 , Marshall Plit  1 , Monique Malouf  1 , Paul Lilburn  2   3   4
Affiliations
Case Reports

A hole lot of trouble: Severe bilateral anastomotic dehiscence following bilateral single sequential lung transplant

Cameron White et al. Respirol Case Rep. .

Abstract

Airway complications post lung transplant including ischaemia and dehiscence have a significant associated mortality (2%-4%) and morbidity. We describe a case of a 22-year-old female who developed significant bilateral anastomotic dehiscence with severe ischaemia following a bilateral single sequential lung transplant (BSSLTx). Following an intensive antimicrobial regimen, judicious bronchoscopic surveillance, and a prolonged inpatient stay, the dehiscence resolved without requiring further surgical intervention. Our case highlights a space in the literature for further research with regard to airway complications post-lung transplant and their management.

Keywords: airway complications; dehiscence; lung transplant.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Day 18 postoperatively — CT Chest demonstrating large right sided bronchocele.
FIGURE 2
FIGURE 2
Left main bronchi. Day 18 Bronchoscopy, left anastomotic dehiscence and adjacent mucosal defect.
FIGURE 3
FIGURE 3
Left main bronchi. Day 39 bronchoscopy, left anastomotic ischaemia, dehiscence and adjacent hole. Improving mildly.
See this image and copyright information in PMC

References

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