title: Urgent contralateral pneumonectomy after single lung transplantation for lymphangioleiomyomatosis.
abstract: 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).
authors.affiliation: Thoracic Surgery Unit, University Hospital of Siena, Siena, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Voltolini
authors.forename: Luca
authors.initials: L
authors.lastname: Luzzi
authors.forename: Piero
authors.initials: P
authors.lastname: Paladini
authors.forename: Bonizella
authors.initials: B
authors.lastname: Biagioli
authors.forename: Paola
authors.initials: P
authors.lastname: Rottoli
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Gotti
mesh_terms: D000328:Adult; D004638:Emergency Treatment; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008171:Lung Diseases / Q000209:etiology* / Q000601:surgery*; D008175:Lung Neoplasms / Q000209:etiology* / Q000601:surgery*; D016040:Lung Transplantation / Q000009:adverse effects*; D018192:Lymphangioleiomyomatosis / Q000209:etiology* / Q000601:surgery*; D011013:Pneumonectomy