Saenz Angel, Dreyse Jorge, Melo Joel, Giglio Andres
Critical Care Department, Finis Terrae University, Santiago, Chile.
Critical Care Department, Clinica Las Condes Hospital, Santiago, Chile.
Interdiscip Cardiovasc Thorac Surg. 2025 Feb 5;40(2). doi: 10.1093/icvts/ivaf004.
Silicosis, a fibrotic lung disease caused by crystalline silica inhalation, presents unique challenges in lung transplantation. This case reports an unprecedented complication in a lung transplant recipient with chronic silicosis. A man in his 60s, post left single-lung transplantation for silica-induced pneumoconiosis, developed acute respiratory deterioration following routine bronchoscopy. Melanoptysis, followed by imaging showing extensive inflammatory involvement in the transplanted lung, required intubation and prone positioning. This case highlights the potential for residual silicotic material to trigger acute post-transplant complications. It underscores the importance of comprehensive pretransplant evaluation of occupational exposures and heightened awareness of silica-related complications in post-transplant care. The report emphasizes gaps in understanding long-term outcomes and optimal management strategies for lung transplant recipients with silicosis.
矽肺是一种因吸入结晶二氧化硅引起的纤维化肺病，在肺移植中带来了独特挑战。本病例报告了一名患有慢性矽肺的肺移植受者出现的前所未有的并发症。一名60多岁男性，因矽肺导致的尘肺病接受了左肺单肺移植，在常规支气管镜检查后出现急性呼吸恶化。出现黑痰，随后影像学显示移植肺广泛炎症累及，需要插管和俯卧位。该病例突出了残留矽肺物质引发移植后急性并发症的可能性。它强调了在移植前对职业暴露进行全面评估的重要性，以及在移植后护理中提高对矽肺相关并发症的认识。该报告强调了在理解矽肺肺移植受者的长期结局和最佳管理策略方面存在的差距。
