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Ann Thorac Surg 1993;56:972-975
© 1993 The Society of Thoracic Surgeons

Articles

Sequential bilateral lung transplantation for pulmonary alveolar microlithiasis

George Stamatis, MD*, Hans-reinhard Zerkowski, MD, Norbert Doetsch, MD, Dieter Greschuchna, MD, Nikolaus Konietzko, MD, Jürgen Christoph Reidemeister, MD

Center for Pneumology and Thoracic Surgery, Ruhrlandklinik, and Department of Thoracic and Cardiovascular Surgery, Essen University Hospital, Essen, Germany

Accepted for publication December 31, 1992.

* Address reprint requests to Dr Stamatis, Department of Thoracic Surgery and Endoscopy, Ruhrlandklinik, Tueschener Weg 40, D-4300 Essen 16, Germany.

Lung transplantation has been successfully used in the treatment of patients with end-stage pulmonary disease and adequate cardiac function. We report about a 32year-old man with pulmonary alveolar microlithiasis who underwent sequential bilateral lung transplantation. Preoperative hemodynamic studies revealed severe pulmonary hypertension; the right ventricular ejection fraction was 0.27. Eighteen months postoperatively, he continues to do well with normalized pulmonary and cardiac function and without clinical or histopathologic signs of graft rejection.




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