Spontaneous pneumothorax in a single lung transplant recipient-a blessing in disguise: A case report.

Autor:	Deshwal H; Division of Pulmonary, Critical Care and Sleep Medicine, New York University Grossman School of Medicine, New York, NY 10016, United States., Ghosh S; Imaging Institute, Section of Thoracic Imaging, Cleveland Clinic, Cleveland, OH 44195, United States. ghoshs2@ccf.org., Hogan K; Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, United States., Akindipe O; Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, United States., Lane CR; Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, United States., Mehta AC; Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, United States.
Jazyk:	angličtina
Zdroj:	World journal of clinical cases [World J Clin Cases] 2020 Jul 26; Vol. 8 (14), pp. 3031-3038.
DOI:	10.12998/wjcc.v8.i14.3031
Abstrakt:	Background: End-stage chronic obstructive pulmonary disease (COPD) is one of the common lung diseases referred for lung transplantation. According to the international society of heart and lung transplantation, 30% of all lung transplantations are carried out for COPD alone. When compared to bilateral lung transplant, single-lung transplant (SLT) has similar short-term and medium-term results for COPD. For patients with severe upper lobe predominant emphysema, lung volume reduction surgery is an excellent alternative which results in improvement in functional status and long-term mortality. In 2018, endobronchial valves were approved by the Food and Drug Administration for severe upper lobe predominant emphysema as they demonstrated improvement in lung function, exercise capacity, and quality of life. However, the role of endobronchial valves in native lung emphysema in SLT patients has not been studied. Case Summary: We describe an unusual case of severe emphysema who underwent a successful SLT 15 years ago and had gradual worsening of lung function suggestive of chronic lung allograft dysfunction. However, her lung function improved significantly after a spontaneous pneumothorax of the native lung resulting in auto-deflation of large bullae. Conclusion: This case highlights the clinical significance of native lung hyperinflation in single lung transplant recipient and how spontaneous decompression due to pneumothorax led to clinical improvement in our patient. Competing Interests: Conflict-of-interest statement: The authors declare that they have no conflict of interest. (©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
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