Deshwal H, Ghosh S, Hogan K, Akindipe O, Lane CR, Mehta AC. Spontaneous pneumothorax in a single lung transplant recipient-a blessing in disguise: A case report. World J Clin Cases 2020; 8(14): 3031-3038 [PMID: 32775384 DOI: 10.12998/wjcc.v8.i14.3031]
Corresponding Author of This Article
Subha Ghosh, MD, MBA; Assistant Professor, Staff Physician, Imaging Institute, Section of Thoracic Imaging, Cleveland Clinic, 9500 Euclid Avenue, L/10, Cleveland, OH 44195, United States. ghoshs2@ccf.org
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2020; 8(14): 3031-3038 Published online Jul 26, 2020. doi: 10.12998/wjcc.v8.i14.3031
Spontaneous pneumothorax in a single lung transplant recipient-a blessing in disguise: A case report
Himanshu Deshwal, Subha Ghosh, Kathleen Hogan, Olufemi Akindipe, Charles Randall Lane, Atul C Mehta
Himanshu Deshwal, Division of Pulmonary, Critical Care and Sleep Medicine, New York University Grossman School of Medicine, New York, NY 10016, United States
Subha Ghosh, Imaging Institute, Section of Thoracic Imaging, Cleveland Clinic, Cleveland, OH 44195, United States
Kathleen Hogan, Olufemi Akindipe, Charles Randall Lane, Atul C Mehta, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, United States
Author contributions: Deshwal H and Mehta AC reviewed the literature and drafted the manuscript; Ghosh S interpreted the imaging findings and drafted the manuscript; Hogan K obtained patient consent and reviewed the manuscript; Akindipe O and Lane CR reviewed and edited the manuscript; Deshwal H, Ghosh S and Mehta AC were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Subha Ghosh, MD, MBA; Assistant Professor, Staff Physician, Imaging Institute, Section of Thoracic Imaging, Cleveland Clinic, 9500 Euclid Avenue, L/10, Cleveland, OH 44195, United States. ghoshs2@ccf.org
Received: March 19, 2020 Peer-review started: March 19, 2020 First decision: April 22, 2020 Revised: May 25, 2020 Accepted: July 16, 2020 Article in press: July 16, 2020 Published online: July 26, 2020 Processing time: 126 Days and 23.5 Hours
Core Tip
Core tip: Native lung hyperinflation can lead to significant transplanted lung dysfunction and worsening of clinical symptoms. While lung volume reduction surgery has been identified as an approach to improve quality of life in patient with severe upper-lobe predominant emphysema, its benefits in single lung transplant patient is limited to case reports and small retrospective studies. No prior case has been described of an auto-lung volume reduction of native lung in single lung transplant patient. In our patient, a spontaneous pneumothorax in the emphysematous native lung led to automatic lung volume reduction and significant clinical improvement. This case highlights the importance of identifying appropriate patient selection for lung volume reduction surgery when chronic lung allograft dysfunction has been ruled out in transplanted lung and patient has significant symptom burden and evidence of native lung hyperinflation.
