Single lung transplants (SLTs) leave in place a diseased lung, a potential source of complications. Native lung pneumonectomy is occasionally indicated. We present 2 cases of native lung complications (NLCs) managed with video-assisted thoracoscopic surgery (VATS) pneumonectomy at our institution, a procedure never reported in this context before. Case 1 involves a 59-year old gentleman with refractory, invasive pulmonary aspergillosis of the native lung, 5 years after SLT for idiopathic pulmonary fibrosis. Case 2 involves a 66-year old gentleman with α-1 antitrypsin deficiency who developed severe haemoptysis and intraparenchymal haemorrhage in the native lung 12 years after SLT. A VATS pneumonectomy was performed in both cases because we believed it would facilitate wound healing and hasten recovery in immunosuppressed patients. Our short-term results align with this hypothesis. We conclude that VATS pneumonectomy is a feasible, adequate and safe procedure in this patient population; larger series are needed to draw definitive conclusions.
Endoscopic Lung Volume Reduction for Emphysema 347 removable (e.g. coils); Non-reversible or non-blocking definitive (e.g. vapor thermoablation, endobronchial polymers, airway bypass). 3.1 Blocking devices 3.1.1 One-way valves These devices have been validated for clinical use in some countries. The Zephyr ® (Pulmonx, Redwood City-CA, EUA) (FIGURE 1) is a model that can be placed bronchoscopically.
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