Transplant pneumonectomy in a patient with an acutely thrombosed allograft

Transplant pneumonectomy is most commonly performed in the setting of retransplantation and is rare for other indications. We present a case of an elderly woman who is 3 years postoperative left, single lung transplantation with a history of emphysema that developed extensive infarction of her transplanted lung secondary to thromboembolic disease. She required an allograft pneumonectomy as treatment for this and was eventually discharged on bi-level nasal positive pressure at night and 3 L nasal cannula oxygen during the day.