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Ann Thorac Surg 1999;67:550-551
© 1999 The Society of Thoracic Surgeons

Case Reports

Bronchial-atrial fistula after lung transplant resulting in fatal air embolism

Riyad Karmy-Jones, MDa, Eric Vallieres, MDa, Bruce Culver, MDb, Ganesh Raghu, MDb, Douglas E. Wood, MDa

a Division of Thoracic Surgery, University of Washington, Seattle, Washington, USA
b Division of Pulmonary Medicine, University of Washington, Seattle, Washington, USA

Accepted for publication July 30, 1998.

Address reprint requests to Dr Wood, Division of Thoracic Surgery, AA-119D Health Sciences, University of Washington, 1959 NE Pacific St, Seattle, WA 98195
e-mail: woodd{at}ctd.surgery.washington.edu

We describe a rare case of fatal air embolism in a patient in whom a left atrial-bronchial fistula developed 1 month after single lung transplant. The cause was a combination of mediastinal infection and bronchial necrosis.




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