| Summary points: | A 47-year-old with end-stage respiratory failure due to cystic fibrosis develops a bronchopleural fistula on the 14th day after undergoing lung transplantation. This case report details the surgical procedure, the approach to surgical repair or the fistula, and the outcome, and includes various images. The authors discuss the complications associated with bilateral sequential lung transplantation in patients with cystic fibrosis, anastomotic techniques to prevent ischaemia of the donor bronchus, and the benefits of using extracorporeal membrane oxygenator support. |