-year-old woman underwent an orthotopic left lung transplant for the
treatment of end-stage emphysema related to chronic cigarette smoking.
She was extubated on the second postoperative day and discharged from
the hospital 3 weeks after transplantation without complications. She
returned from the regional transplant center to her rural Iowa home 6
weeks after surgery and did well without supplemental oxygen and
without limiting dyspnea. Her medications included the following:
prednisone, 15 mg/d; tacrolimus, 2 mg every morning and 3 mg at night;
azathiaprine, 125 mg/d; acyclovir, 400 mg tid; itraconazole, 400 mg/d;
trimethoprim/sulfamethoxazole, 3 days/wk; ranitidine, 150 mg at bedtime
for long-standing reflux disease; use of a combination
albuterol/ipatropium bromide metered-dose inhaler qid; and
postmenopausal hormone replacements.