HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Kook-Yang Park Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Park, K.-Y. Articles by Park, C.-H. Search for Related Content PubMed PubMed Citation Articles by Park, K.-Y. Articles by Park, C.-H. Related Collections Trachea and bronchi

Ann Thorac Surg 2005;79:1054-1056
© 2005 The Society of Thoracic Surgeons

---

Case report

Candida Infection in a Stent Inserted for Tracheal Stenosis After Heart Lung Transplantation

^a Department of Cardiothoracic Surgery, Gil Heart Center, Gachon Medical School, Inchon, South Korea

Accepted for publication September 10, 2003.

^* Address reprint requests to Dr Park, Department of Cardiothoracic Surgery, Gil Heart Center, 1198 Kuwol-dong, Namdong-ku, Inchon 405-220, South Korea
kookyang{at}ghil.com

Although there are many reports on the use of expandable metallic stents for treating an airway stenosis that develops after heart lung transplantation, complications from using these stents are rarely reported. We experienced a case of Candida infection in a stent that was placed to treat a tracheal stenosis after heart lung transplantation in an 11-year-old girl. The patient had progressive shortness of breath developed from the 5th postoperative week. Chest computed tomography and bronchoscopy revealed a stenosis at the level of the anastomosis. After repeated unsuccessful trials of endoscopic ablation of the granuloma, a Palmaz metallic expandable stent (8 x 30 mm) (Johnson and Johnson Interventional Systems Co, Warren, NJ) was placed, which was followed by immediate relief of the dyspnea. Bronchoscopy conducted immediately after the stent placement showed a free floating distal stent end, which needed to be followed up. The patient had been doing well for the next 9 months after stent placement when she again had shortness of breath develop. Endoscopic examination revealed an intraluminally growing fungal mass, which was particularly severe at the distal free edge of the stent. The culture yielded Candida albicans. Aggressive antifungal agents and surgical removal of the stent were planned, but the patient died 1 day after admission.

This article has been cited by other articles:

				J. F. Santacruz and A. C. Mehta Airway Complications and Management after Lung Transplantation: Ischemia, Dehiscence, and Stenosis Proceedings of the ATS, January 15, 2009; 6(1): 79 - 93. [Abstract] [Full Text] [PDF]