Cardiopulmonary bypass in a post-lung-transplant patient

Abstract

S INCE 1988, more than 250 lung transplantations have been performed at this mst~tutlon Some of these patients have subsequently required general anesthesia for a variety of surgical procedures including bronchial dilatation and stent placement. However, to the best of the author's knowledge, this is the first report of a patient who underwent cardiopulmonary bypass (CPB) after recovery from lung transplantation. This patient required CPB for repair of a type A aortic dissection 41⁄2 months after successful bilateral sequential lung transplantation. He had a prolonged and difficult hospital course after repair of the dissection. It is not known whether the transplanted lung is more vulnerable than normal to injury on CPB or to infection after CPB.