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Probable allergic reaction to cyclosporin and early

formation of thrombi on a pulmonary artery catheter:

two unusual complications during bilateral lung

transplantation

N. Dalibon1, M. Stern2, P. Bonnette3, G. Dreyfus4 and

M. Fischler*,1

1 Department of Anaesthesiology, 2 Department of

Pneumology, 3 Department of Thoracic Surgery and 4

Department of Cardiac Surgery, Hôpital Foch, 40 Rue

Worth, F-92151 Suresnes, France

We describe a patient who had two rare complications

(a probable allergic reaction to cyclosporin and the

early formation of a right atrial thrombus) during

bilateral sequential single lung transplantation

performed under the one anaesthetic. The thrombus,

discovered at the end of the procedure, was then

removed under cardiopulmonary bypass. Peroperative

transoesophageal echocardiography was useful in

providing critical diagnostic and therapeutic

information.

Br J Anaesth 2002; 89: 930–3

Becki

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