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Chronic Respiratory Disease
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*Lung Transplantation
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research-article

Saber-sheath trachea in a patient with bronchiolitis obliterans syndrome after lung transplantation

D Hayes, Jr

Departments of Pediatrics and Internal Medicine, University of Kentucky College of Medicine, J410 Kentucky Clinic, 740 South Limestone Street Lexington, Kentucky 40536, USA, don.hayes{at}uky.edu

HO Ballard

Department of Pediatrics, University of Kentucky College of Medicine, MS467 Chandler Medical Center, 800 Rose Street, Lexington, Kentucky 40536, USA

Chronic rejection remains a major source of morbidity and mortality following lung transplantation. The clinical characteristics of chronic rejection involves bronchiolitis obliterans syndrome (BOS), which leads to progressive airway obstruction. Changes in intrathoracic tracheal dimensions and shape are commonly present in the setting of airway obstruction, leading to the narrowing of the intrathoracic trachea in the coronal plane with anteroposterior lengthening characteristic of the saber-sheath trachea deformity. We present a 64-year-old man who underwent left lung transplantation for idiopathic pulmonary fibrosis who later developed saber-sheath trachea as a result of chronic airway obstruction due to BOS.

Key Words: airway obstruction • bronchiolitis obliterans • lung transplantation • saber-sheath • trachea

Chronic Respiratory Disease, Vol. 6, No. 1, 49-52 (2009)
DOI: 10.1177/1479972308099990


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