Emergent Plasmapheresis for Hyperammonemia in a Re-do Double Lung Transplant Patient.

Chan, Patrick G; Kusztos, Amanda; Thorngren, Christina; Sanchez, Pablo G · Ann Thorac Surg · 2021

case_report · Level V

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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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