Success of intravenous immunoglobulin and steroids in managing severe COVID-19 following lung transplantation: A case report

Figure 1 Chest plain film. A: The pretransplant chest plain film showed hyperinflation and increased opacification of both lung fields except for the right lower lung field which showed hypertranslucency; B: Donor chest plain film showing clear bilateral lung fields without opacity; C: Postoperative chest plain film showing increased infiltration in the left lung, with bilateral chest tube retention in the pleural cavities and surgical stitches over the chest wall; D: Chest plain film on postoperative day 8 showing diffuse patchy opacities over both lungs with veno-venous extracorporeal membrane oxygenation support; E: Chest plain film on postoperative day 121 showing a stable condition after the removal of the tracheostomy tube with full expansion of both lungs.

Figure 2 Recipient’s pretransplant chest computed tomography. A: Axial view; B: Coronal view. Pretransplant chest computed tomography showed diffuse emphysematous change of bilateral lungs, with marked destruction of the right lung.

Figure 3 Post-operative flexible bronchoscopy. A: Right bronchial anastomosis; B: Left bronchial anastomosis. Bilateral bronchial anastomoses showing no dehiscence or stricture under flexible bronchoscopy.