A hole lot of trouble: Severe bilateral anastomotic dehiscence following bilateral single sequential lung transplant

Author:

White Cameron123,Stuart Alice1,Plit Marshall1,Malouf Monique1,Lilburn Paul234ORCID

Affiliation:

1. Department of Medicine The Alfred, 55 Commercial Road Melbourne Victoria Australia

2. Respiratory Department Prince of Wales Hospital Sydney New South Wales Australia

3. School of Health Sciences University of New South Wales Sydney New South Wales Australia

4. MQ Health Macquarie University Hospital Sydney New South Wales Australia

Abstract

AbstractAirway complications post lung transplant including ischaemia and dehiscence have a significant associated mortality (2%–4%) and morbidity. We describe a case of a 22‐year‐old female who developed significant bilateral anastomotic dehiscence with severe ischaemia following a bilateral single sequential lung transplant (BSSLTx). Following an intensive antimicrobial regimen, judicious bronchoscopic surveillance, and a prolonged inpatient stay, the dehiscence resolved without requiring further surgical intervention. Our case highlights a space in the literature for further research with regard to airway complications post‐lung transplant and their management.

Publisher

Wiley

Subject

Pulmonary and Respiratory Medicine

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