Successful angioplasty and stent treatment of pulmonary vein stenosis after single-lung transplantation.

In this report we describe a 42-year-old man with idiopathic pulmonary fibrosis with a progressive course who underwent right single-lung transplantation in November 2007. The post-operative course showed a decline of gas exchange, and chest X-ray revealed pneumonic infiltrates. Computerized tomography (CT) scans showed high-grade stenosis of the right superior pulmonary vein. The pulmonary vein stenosis was treated with percutaneous transseptal stent implantation leading to rapid improvement of gas exchange and clinical condition, and a retransplantation could be avoided.