Abstract:

Objective To investigate the risk factors of recurrent ventricular fibrillation in patients with silicosis and hyperthyroidism during and after lung transplantation, for its effective intervention and reducing the risk of operation. Methods Methods The clinical data of one patient with silicosis and hyperthyroidism who underwent recurrent ventricular fibrillation during and after lung transplantation was analyzed retrospectively, and the relevant literatures were reviewed. Results Male 69 years old, he needed lung transplantation because of respiratory failure with silicosis, but diagnosed with hyperthyroidism preoperatively. After standardized treatment in department of endocrinology, lung transplantation was performed after hyperthyroidism was well controlled. However, recurrent ventricular fibrillation occurred during and after the operation and successfully discharged after active rescue. Postoperative follow-up was conducted for three months，the patient recovered well. Conclusion For lung transplant patients with hyperthyroidism, we must actively intervene and regularly review the thyroid function and cardiac involvement. However, there will still be fatal arrhythmias during and after the operation.

Objective To investigate the risk factors of recurrent ventricular fibrillation in patients with silicosis and hyperthyroidism during and after lung transplantation, for its effective intervention and reducing the risk of operation. Methods Methods The clinical data of one patient with silicosis and hyperthyroidism who underwent recurrent ventricular fibrillation during and after lung transplantation was analyzed retrospectively, and the relevant literatures were reviewed. Results Male 69 years old, he needed lung transplantation because of respiratory failure with silicosis, but diagnosed with hyperthyroidism preoperatively. After standardized treatment in department of endocrinology, lung transplantation was performed after hyperthyroidism was well controlled. However, recurrent ventricular fibrillation occurred during and after the operation and successfully discharged after active rescue. Postoperative follow-up was conducted for three months，the patient recovered well. Conclusion For lung transplant patients with hyperthyroidism, we must actively intervene and regularly review the thyroid function and cardiac involvement. However, there will still be fatal arrhythmias during and after the operation.