# Redo bilateral lung transplantation in a previous heart-lung transplant recipient for invasive pulmonary scedosporiosis

## TL;DR

A rare case of redo-bilateral lung transplant in a heart-lung transplant recipient was successfully managed with surgery and antifungal treatment.

## Contribution

This case report presents a successful surgical and medical management approach for a rare complication in heart-lung transplant recipients.

## Key findings

- The patient showed no issues with bronchial anastomosis healing after the redo-bilateral lung transplant.
- A combination of inhaled antifungal drugs led to a positive 1-year outcome for the patient.
- The case demonstrates a viable strategy for managing invasive pulmonary scedosporiosis in transplant recipients.

## Abstract

Redo-bilateral lung transplant in previous heart-lung transplant is a rare operation. We describe our surgical and medical management experience with a heart-lung transplant recipient who developed chronic lung allograft dysfunction and invasive Scedosporium apiospermum infection. The patient underwent a redo-bilateral lung transplant followed by a combination of inhaled voriconazole, caspofungin, and olorofim for a prolonged period. We observed no issues with bronchial anastomosis healing, and the patient is doing well on 1-year follow-up. This report outlines a successful management approach to this rare complication of heart-lung transplant recipients.