MANAGEMENT STRATEGIES FOR PULMONARY VEIN-THROMBOSIS FOLLOWING SINGLE-LUNG TRANSPLANTATION

Pulmonary vein thrombosis following lung transplantation is an infrequ ently reported and often fatal vascular complication. Two cases of ear ly pulmonary vein thrombosis following single lung transplantation are described. Both patients underwent surgical thrombectomy and anastomo tic reconstruction following institution of cardiopulmonary bypass, bu t died of multiorgan failure within 5 days of diagnosis. The efficacy of transesophageal echocardiography as a diagnostic modality, as well as medical and surgical management strategies for thrombectomy, are di scussed.