Bronchitis, Pneumonia (common)
usually bacterial early in course
MRSA and pseudomonas common
Fungi, protozoa, CMV more common >6 weeks post-op
Extra-pulmonary infections (may be severe or opportunistic due to immunosuppression)
usually bacterial early in course
MRSA and pseudomonas common
Fungi, protozoa, CMV more common >6 weeks post-op
Prednisone
Hyperglycemia, psychiatric symptoms, poor wound healing, edema, hypertension
Tacrolimus, cyclosporine
Neurotoxicity, tremor, hyperkalemia, nephrotoxicity, hypertension, hyperglycemia, gout
Mycophenolate
Cytopenias, GI distress
Azathioprine
Cytopenias, pancreatitis, hepatitis
Hyperglycemia, psychiatric symptoms, poor wound healing, edema, hypertension
Neurotoxicity, tremor, hyperkalemia, nephrotoxicity, hypertension, hyperglycemia, gout
Cytopenias, GI distress
Cytopenias, pancreatitis, hepatitis
Anastomotic bronchial necrosis, dehiscence, or stenosis
bronchial vasculature is disrupted during procedure, ergo:
donor bronchus reliant on retrograde pulmonary circulation for perfusion
anastomoses vulnerable to ischemia
mild cases may be asymptomatic
may lead to worsening respiratory symptoms, pneumothorax, pneumomediastinum, focal infections/abscess
Occlusive granulation tissue
Asymptomatic, or worsening cough, wheezing, post-obstructive pneumonia
bronchial/tracheal stenosis, tracheobronchomalacia
cough, dyspnea, difficulty clearing respiratory secretions, recurrent infections, wheezing, stridor
bronchopleural, bronchomediastinal, or bronchovascular fisulae
can cause pneumothorax, hypotension, mediastinitis, pneumomediastinum, respiratory distress
Pulmonary vasculature problems
Pulmonary artery stricture→ hypoxia
Pulmonary venous anastomoses: vulnerable to kinking, pulmonary embolism, and thromboses→ pulmonary edema
Rejection
Acute/cellular rejection: clinically silent or nonspecific respiratory symptoms
Chronic rejection (bronchiolitis obliterans): leads to airflow limitation
bronchial vasculature is disrupted during procedure, ergo:
donor bronchus reliant on retrograde pulmonary circulation for perfusion
anastomoses vulnerable to ischemia
mild cases may be asymptomatic
may lead to worsening respiratory symptoms, pneumothorax, pneumomediastinum, focal infections/abscess
donor bronchus reliant on retrograde pulmonary circulation for perfusion
anastomoses vulnerable to ischemia
Asymptomatic, or worsening cough, wheezing, post-obstructive pneumonia
cough, dyspnea, difficulty clearing respiratory secretions, recurrent infections, wheezing, stridor
can cause pneumothorax, hypotension, mediastinitis, pneumomediastinum, respiratory distress
Pulmonary artery stricture→ hypoxia
Pulmonary venous anastomoses: vulnerable to kinking, pulmonary embolism, and thromboses→ pulmonary edema
Acute/cellular rejection: clinically silent or nonspecific respiratory symptoms
Chronic rejection (bronchiolitis obliterans): leads to airflow limitation
Lung transplant complications
Bronchitis, Pneumonia 
Heart transplant complications
usually bacterial early in course
Kidney transplant complications
MRSA and pseudomonas common
Tracheostomy complications
Fungi, protozoa, CMV more common >6 weeks post-op