A 25-year-old woman developed "brain death" 48 h after acute methanol poiso
ning. After the elimination of methanol and the correction of metabolic dis
orders, organ donation was discussed. The lungs mere transplanted into a 46
-year-old woman suffering from cystic "emphysematous-like" lesions as a com
plication of lymphangioleiomyomatosis. The procedure was not complicated, a
nd we have an uneventful follow-up of > 12 months. In addition to the lungs
, the kidneys and the liver were also removed and transplanted with success
.