Pulmonary infarction after liver transplant and previous hepatopulmonary syndrome

We describe the case of a 36-year-old woman with previous hepatopulmonary s yndrome in which a focal pulmonary lesion developed after liver transplanta tion. Thoracoscopic resection showed a pulmonary infarction of the superior segment of the right lower lobe. The patient recovered and had no further thrombotic events after 2 years of follow-up. The pulmonary vascular change s observed during hepatopulmonary syndrome may predispose patients to the d evelopment of pulmonary infarction.