A successful aggressive surgical and medical approach to pulmonary artery obstruction due to Mycobacterium abscessus infection post lung transplantation

Sakhee Kotecha, Olivia C. Smibert, Atsuo Doi, Julian Gooi, Orla Morrissey, Miranda Paraskeva, Greg I. Snell, David McGiffin

Research output: Contribution to journalArticleOtherpeer-review

Abstract

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.

Original languageEnglish
Article numbere12838
Number of pages5
JournalTransplant Infectious Disease
Volume20
Issue number2
DOIs
Publication statusPublished - 1 Apr 2018
Externally publishedYes

Keywords

  • lung transplantation
  • Mycobacterium abscessus

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