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The Annals of Thoracic Surgery, Vol 53, 338-340, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Systemic recombinant tissue plasminogen activator lysis for left atrial thrombus formation after single-lung retransplantation

C Schmid, DC Gulba, B Heublein, J Kemnitz and A Haverich
Division of Thoracic and Cardiovascular Surgery, Medizinische Hochschule Hannover, Germany.

This report describes a recipient of single-lung transplantation surviving extraordinary complications: (1) early graft failure mandating retransplantation; (2) left atrial thrombus formation, which resolved by recombinant tissue plasminogen activator lysis; (3) and development of a "locked-in-syndrome." Possible underlying mechanisms are discussed.

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