Clamshell sternotomy for bilateral total lung transplant

Discussion:

Patient has undergone clamshell sternotomy for bilateral total lung transplant six months earlier, with sternal suture wires in the craniocaudal dimension.

Further recommendations include

  1. echocardiogram of the heart to evaluate for ejection fraction
  2. high resolution CT chest for specifically ILD protocol in inspiration and expiration, please specify like this in order to evaluate for any graft versus host disease/rejection/immunocompromised infections
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