ABSTRACT

Lung transplantation involves multiple complex steps from procurement to implantation, each of which can potentially result in a complication. Such complications may develop at any time from the intraoperative phase to weeks or months after transplantation (Table 27.1). Surgical complications after lung transplantation

Vascular complications

Anastomotic bleeding

Anastomotic stenosis

Nonanastomotic obstruction

Kinking

Thrombosis and pulmonary embolism

Extraluminal compression

Airway complications

Dehiscence

Stenosis

Fistula

Endobronchial granuloma

Bronchial infection

Bronchomalacia

Air leaks

Phrenic nerve injury and diaphragm paralysis

Postoperative hemorrhage

Hemothorax

Hemomediastinum, including hemopericardium

Chest wall hematoma

Pleural space complications

Pneumothorax

Pleural effusion

Empyema

Chylothorax

Donor-recipient lung size mismatch

Complications occurring in the nontransplanted lung

Others

Primary graft dysfunction

Lung hernia

Surgical site infection

Wound dehiscence

Complications related to cardiopulmonary bypass