Chan PG, Kusztos A, Thorngren C, Sanchez PG. Emergent Plasmapheresis for Hyperammonemia in a Re-do Double Lung Transplant Patient.
Ann Thorac Surg 2021;
112:e45-e47. [PMID:
33421386 DOI:
10.1016/j.athoracsur.2020.10.065]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 10/19/2020] [Accepted: 10/24/2020] [Indexed: 11/16/2022]
Abstract
Hyperammonemia after lung transplant is a severe complication that can result in cerebral herniation. It is associated with up to 70% mortality in patients who have had solid organ transplantation. We describe a rare case in which hyperammonemia was emergently and successfully treated with plasmapheresis in a re-do double lung transplant patient who developed shocked liver.
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