Single Lung Transplantation After Open Window Thoracotomy for Empyema: A Case Report

Kazunori Ueda, Tatsuaki Watanabe, Yui Watanabe, Takashi Hirama, Hisashi Oishi, Hiromichi Niikawa, Yasushi Matsuda, Masafumi Noda, Yasushi Hoshikawa, Yoshinori Okada

Research output: Contribution to journalArticlepeer-review

Abstract

A 41-year-old woman with lymphangioleiomyomatosis developed a bronchial anastomotic stenosis after left single lung transplantation (LTx). A part of the hyperinflated right native lung was excised in an attempt to remedy the left lung compression, which appeared to affect the bronchial anastomotic stenosis and ventilation/perfusion mismatch. However, a persistent air leak after the surgery caused empyema and an open window thoracotomy (OWT) was performed. She remained oxygen-dependent and was relisted for lung transplantation. A right single LTx on the side of OWT was performed, achieving long-term survival with no activity limitations for the patient. We report here the first successful LTx after OWT for empyema.

Original languageEnglish
JournalTransplantation Proceedings
DOIs
Publication statusAccepted/In press - 2024

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

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