Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-19T02:16:15.819Z Has data issue: false hasContentIssue false

Development of right ventricular outflow tract obstruction after double-lung transplantation for primary pulmonary hypertension

Published online by Cambridge University Press:  19 August 2008

Gül Sagin Saylam
Affiliation:
From the Grown-up Congenital Heart Unit, Royal Brompton National Heart and Lung Hospital, London
Jane Somerville*
Affiliation:
From the Grown-up Congenital Heart Unit, Royal Brompton National Heart and Lung Hospital, London
*
Dr. Jane Somerville, Grown-up Congenital Heart Unit, Royal Brompton National Heart and Lung Hospital, Sydney Street, London SW3 6NP, United Kingdom. Tel. 071-351-8200; Fax. 071-351-8201.

Summary

We present a patient with primary pulmonary hypertension who had unusually high pulmonary arterial pressure prior to double-lung transplantation. Obstruction of the right ventricular outflow tract developed after transplantation and progressed over the subsequent two years.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Fremes, SE, Patterson, GA, Williams, WG, Goldman, BS, Todd, TRT, Maurer, J, the Toronto Lung Transplant Group. Single lung transplantation and closure of patent ductus arteriosus for Eisenmenger's syndrome. J Thorac Cardiovasc Surg 1990; 100: 15.CrossRefGoogle ScholarPubMed
2.Fricker, FJ, Park, SC, Armitage, JM, Griffith, BP. Development and resolution of right ventricular outflow tract obstruction after double lung transplantation. Transplantation Science 1992; 2: 1215.Google Scholar
3.Gorcsan, J III, Reddy, SCB, Armitage, JM, Griffith, BP. Acquired right ventricular outflow tract obstruction after lung transplantation: diagnosis by transesophageal echocardiography. J Am Soc Echocardiogr 1993; 6: 324326.CrossRefGoogle ScholarPubMed
4.Brock, R. The Anatomy of Congenital Pulmonary Stenosis. Cassell and Co., London, 1957.Google Scholar
5.Ryan, T, Petrovic, O, Dillon, JC, Feigenbaum, H, Conley, MJ, Armstrong, WF. An echocardiographic index for separation of right ventricular volume and pressure overload. J Am Coll Cardiol 1985; 5: 918924.CrossRefGoogle ScholarPubMed
6.Yeoh, TK, Kramer, MR, Marshall, S, Theodore, J, Gibbons, R, Valantine, HA, Starnes, VA. Changes in cardiac morphology and function following single-lung transplantation. Transplant Proc 1991; 23: 12261227.Google ScholarPubMed
7.Pasque, MK, Kaiser, LR, Dresler, CM, Trulock, E, Triantafillou, AN, Cooper, JD. Single lung transplantation for pulmonary hypertension. J Thorac Cardiovasc Surg 1992; 103: 475482.CrossRefGoogle ScholarPubMed
8.Frist, WH, Carmichael, LC, Loyd, JE, Merrill, WH, Stewart, JR, Biggs, VJ, Bender, HW Jr. Transplantation for pulmonary hypertension. Transplant Proc 1993; 25: 11591161.Google ScholarPubMed
9.Hsieh, CM, Mishkel, GJ, Cardoso, PFG, Rakowski, H, Dunn, SC, Butany, J, Weisel, RD, Patterson, GA, Cooper, JD. Production and reversibility of right ventricular hypertrophy and right heart failure in dogs. Ann Thorac Surg 1992; 54: 104110.CrossRefGoogle ScholarPubMed
10.Yacoub, MH, Banner, NR, Khaghani, A, Fitzgerald, M, Madden, B, Tsang, V, Radley-Smith, R, Hodson, M. Heart-lung transplantation for cystic fibrosis and subsequent domino heart transplantation. J Heart Transplant 1990; 9: 459467.Google ScholarPubMed