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A successful aggressive surgical and medical approach to pulmonary artery obstruction due to Mycobacterium abscessus infection post lung transplantation
Author(s) -
Kotecha Sakhee,
Smibert Olivia C.,
Doi Atsuo,
Gooi Julian,
Morrissey Orla,
Paraskeva Miranda,
Snell Greg I.,
McGiffin David
Publication year - 2018
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12838
Subject(s) - medicine , mycobacterium abscessus , lung transplantation , surgery , lung , antibiotics , transplantation , lung infection , mycobacterium , tuberculosis , pathology , microbiology and biotechnology , biology
Mycobacterium abscessus infection following lung transplantation has historically been associated with poor outcomes. We report a case of bilateral lung retransplantation complicated by obstruction of the right pulmonary artery secondary to M. abscessus mycotic aneurysm. Aggressive surgical management, including reconstruction of the right pulmonary artery, was undertaken with prolonged antimicrobial therapy. Thirty‐six months later, antibiotics have been discontinued and the patient has stable soft tissue chest wall disease with good graft function. Mortality and morbidity associated with M. abscessus infection is considerable but this case illustrates that with aggressive early management, outcomes may be favorable.