Chronic obstructive pulmonary disease (COPD) is the most common indica
tion for adult single lung transplantation. These patients com monly h
ave one or more risk factors for coronary artery disease. Traditionall
y previous lung transplantation has been considered a contraindication
to coronary artery bypass grafting (CABG). This report describes a ca
se of CABG 3 yr after single lung transplantation and briefly discusse
s the risks of cardiac surgery in lung transplant patients.