Lung Transplant for Pulmonary Arterial Hypertension After Arterial Switch Operation

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

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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.

Original languageEnglish
Pages (from-to)e133-e134
JournalAnnals of Thoracic Surgery
Volume100
Issue number6
DOIs
Publication statusPublished - 01-01-2015

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Watanabe, T., Adachi, O., Suzuki, Y., Notsuda, H., Niikawa, H., Matsuda, Y., Noda, M., Sado, T., Hoshikawa, Y., Akiba, M., Tatebe, S., Saiki, Y., & Okada, Y. (2015). Lung Transplant for Pulmonary Arterial Hypertension After Arterial Switch Operation. Annals of Thoracic Surgery, 100(6), e133-e134. https://doi.org/10.1016/j.athoracsur.2015.08.046