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Seiichi Noda
Thoralf M. Sundt, III
Sudhir Sundaresan
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Ann Thorac Surg 1997;64:1459-1461
© 1997 The Society of Thoracic Surgeons


Case Report

Pulmonary Embolectomy After Single-Lung Transplantation

Seiichi Noda, MD, Thoralf M. Sundt, III, MD, John P. Lynch, MD, Elbert P. Trulock, MD, Sudhir Sundaresan, MD, G. Alexander Patterson, MD

Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri

Accepted for publication June 18, 1997.

Single-lung transplantation for pulmonary hypertension results in a significant ventilation/perfusion mismatch with dramatic shift of blood flow, but not ventilation, to the replacement organ. This raises concern that the patient may be precariously dependent on the function of the transplanted lung. We report the successful management of a massive central pulmonary embolus to the transplanted lung in a 43-year-old woman 4 years after single-lung transplantation for primary pulmonary hypertension.




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