Lung Transplant for Pulmonary Arterial Hypertension After Arterial Switch Operation.

Abstract

Pulmonary arterial hypertension after arterial switch operation for transposition of the great arteries is an infrequent but life-threatening complication. We report successful lung transplantation in a case of pulmonary hypertension after arterial switch operation. Cardiopulmonary bypass outflow was established through the right subclavian and femoral arteries because of the previous arterial switch operation. Abnormal anatomy and severe pleural and pericardial adhesions as a result of previous operations resulted in prolonged graft ischemic and operation times. Despite delayed left heart adaptation and primary graft dysfunction requiring prolonged extracorporeal membrane oxygenation, the recipient was eventually discharged without activity limitations.

• Authors: Tatsuaki Watanabe, Osamu Adachi, Yasuto Suzuki, Hirotsugu Notsuda, Hiromichi Niikawa, Yasushi Matsuda, Masafumi Noda, Tetsu Sado, Yasushi Hoshikawa, Miki Akiba, Shunsuke Tatebe, Yoshikatsu Saiki, Yoshinori Okada
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 100 Issue 6 Pg. e133-4 (Dec 2015) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 26652570 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Arterial Switch Operation (adverse effects)
• Child
• Humans
• Hypertension, Pulmonary (etiology, surgery)
• Lung Transplantation
• Male
• Postoperative Complications (etiology, surgery)
• Transposition of Great Vessels (surgery)