Coronary artery revascularization followed by single-lung transplantation in a patient with combined end-stage idiopathic pulmonary fibrosis and left main coronary artery stenosis.

摘要

Single-lung transplantation has been used successfully in patients who have idiopathic pulmonary fibrosis; however, coronary artery disease is often considered a contraindication for lung transplantation in such patients. We report the case of a 53-year-old man with idiopathic pulmonary fibrosis in whom left main coronary artery stenosis was found incidentally during pretransplant evaluation. The patient was treated successfully with elective coronary artery bypass grafting, followed by left single-lung transplantation 35 days later.