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 ).