A Case Report of Lung Re-Transplantation

Lung re-transplantation is a technically difficult procedure، but it becomes necessary in some patients with previous lung transplantation. Our patient was a 25 years old man with emphysema and alpha-1 antitrypsin deficiency، and had right side single lung transplantation 6 years ago. After 3 years of first operation pulmonary indexes gradually declined and with the diagnosis of Obliterans Bronchiolitis، he was treated by immunosuppressive medication and antibiotics. But with more decline in pulmonary function، frequent rejections and fibrosis، patient became dependent on supplemental oxygen، and re-transplantation was considered to be the only efficient treatment. Finally patient underwent left side lung transplantation، 6 years after his first lung transplantation.