Patient 1
A 58year-old female with Kartagener’s syndrome presented with recurrent hospitalizations for pneumonia/bronchitis. She had a significant decrease in her functional status leading up to her transplant, requiring 2 to 4L of oxygen at rest and upwards of 6L with exertion. Due to the recurrent infectious exacerbations, the right lung collapsed, resulting in a dramatic shift in the mediastinum to the right side (Figure 1A ). The patient underwent sequential double lung transplant on cardiopulmonary bypass. Due to allograft size mismatch, the patient required a delayed chest closure on postoperative day (POD) 2 in the operating room (OR) after a chest washout with antibiotics. No donor lung volume reduction was necessary to close her chest. She did not require any postoperative cardiopulmonary or support. She was extubated on POD 6 and was discharged from the hospital on POD 38. Both lungs were fully expanded, and the mediastinum was centered. (Figure 1B ).