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Right arrow Lung - transplantation

Ann Thorac Surg 2005;80:2349-2351
© 2005 The Society of Thoracic Surgeons

Case report

Urgent Contralateral Pneumonectomy After Single Lung Transplantation for Lymphangioleiomyomatosis

Luca Voltolini, MD a , Luca Luzzi, MD a , * , Piero Paladini, MD a , Bonizella Biagioli, MD b , Paola Rottoli, MD c , Giuseppe Gotti, MD a

a Thoracic Surgery Unit, University Hospital of Siena, Siena, Italy
b Respiratory Diseases Section, Department of Immunology and Clinical Medicine, University Hospital of Siena, Siena, Italy
c Cardiothoracic Intensive Care Unit, University Hospital of Siena, Siena, Italy

Accepted for publication July 19, 2004.

* Address correspondence to Dr Luzzi, Thoracic Surgery Unit, Viale Bracci 14, Siena, 53100 Italy (Email: luzzi.luca{at}virgilio.it).

Left single lung transplantation in a 33-year-old woman affected by end-stage lymphangioleiomyomatosis was complicated by spontaneous and diffuse bleeding from the right lung at the end of the procedure. The right lung was completely deteriorated and the only option to stop the bleeding was a right pneumonectomy. At 14 months after transplantation, the single allograft showed good lung function with acceptable volumes. Single lung transplant and contralateral pneumonectomy can be considered a safe procedure in case of complications related to native lung either in case of lymphangioleiomyomatosis than for other lung diseases (emphysema, cystic fibrosis).






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