Resolution of native lung pneumothorax by insertion of a nitinol stent for bronchostenosis in the transplanted lung.
Following single lung transplantation, the native lung remains a potential source of morbidity from spontaneous pneumothorax, hyperinflation, bacterial and fungal infection and malignancy. The case of a single lung transplant recipient for idiopathic pulmonary fibrosis who developed a recurrent, non-resolving, spontaneous multiloculated pneumothorax in the native lung following thoracoscopic talc pleurodesis is reported. The pneumothorax ultimately resolved following insertion of a nitinol stent for coexisting bronchostenosis in the transplanted lung. In a single lung transplantation recipient in whom a native lung pneumothorax reoccurs or persists despite appropriate initial management, it may be useful to undertake bronchoscopy to exclude the possibility of bronchostenosis in the transplanted lung.
Chhajed
Prashant N
PN
The Heart Lung Transplant Unit, St. Vincent's Hospital, Darlinghurst, Sydney, New South Wales, Australia. chhajed@hotmail.com
Malouf
Monique A
MA
Tamm
Michael
M
Hopkins
Peter M
PM
Plit
Marshall
M
Glanville
Allan R
AR
D000328:Adult; D000497:Alloys; D001982:Bronchial Diseases / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D001999:Bronchoscopy; D003251:Constriction, Pathologic; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008176:Lung Volume Measurements; D008297:Male; D018700:Pleurodesis; D011030:Pneumothorax / Q000209:etiology* / Q000628:therapy*; D012008:Recurrence; D015607:Stents
D000497:Alloys; C013616:nitinol