Emergent Plasmapheresis for Hyperammonemia in a Re-do Double Lung Transplant Patient

Abstract Hyperammonemia after lung transplant is a severe complication which can result in cerebral herniation. It is associated with up to 70% mortality in patients who have had solid organ transplantation. We describe a rare case in which hyperammonemia was emergently and successfully treated with plasmapheresis in a re-do double lung transplant patient who developed shocked liver.