Chronic Pulmonary Allograft Rejection After Successful Bilateral Lung Transplantation

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The two recognized forms of chronic pulmonary allograft rejection are obliterative bronechiolitis and pulmonary arteriosclerosis, Obliterative bronchiolitis usually develops after the first postoperative year, current mangement is aimed at arresting the progressive decline of pulmonary function. The authors describe a unique case of chronic rejection, presenting as nodular infiltrates caused by pulmonary artery thrombosis and parenchymal infarction in the setting of obliterative bronchiolitis and arteriosclerosis.

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