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DOI: 10.1055/s-2008-1038638
© Georg Thieme Verlag KG Stuttgart · New York
Right Ventricular Outflow Tract Obstruction after Bilateral Lung Transplantation
Publikationsverlauf
Received October 4, 2007
Publikationsdatum:
23. Januar 2009 (online)
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Introduction
Right ventricular outflow tract (RVOT) obstruction is an uncommon complication of lung transplantation (LT), occurring especially in patients with both primary and secondary pulmonary hypertension [1], [2]. RVOT obstruction is attributed to an acute decrease in the size of the right ventricular cavity due to a decrease in pulmonary arterial pressure, and medical management or even surgical intervention is needed [3], [4]. We report here on the successful treatment for RVOT obstruction after bilateral LT in a patient with primary pulmonary hypertension (PPH).
References
- 1 Kirshbom P M, Tapson V F, Harrison J K. et al . Delayed right heart failure following lung transplantation. Chest. 1996; 109 575-577
- 2 Miyaji K, Matsubara H, Kajiya M. et al . Failure of disopyramide to improve right ventricular outflow tract obstruction after living-donor lobar lung transplantation. Circ J. 2004; 68 1084-1087
- 3 Therrien J, Dore A, Gersony W. et al . CCS Consensus Conference 2001 update: recommendations for the management of adults with congenital heart disease. Part I. Can J Cardiol. 2001; 17 940-959
- 4 Okada Y, Hoshikawa Y, Ejima Y. et al . β-Blocker prevented repeated pulmonary hypertension episodes after bilateral lung transplantation in a patient with primary pulmonary hypertension. J Thorac Cardiovasc Surg. 2004; 128 793-794
- 5 Dell'Italia L J. The right ventricle: anatomy, physiology, and clinical importance. Curr Probl Cardiol. 1991; 16 653-720
Dr. Toru Bando
Thoracic Surgery
Kyoto University
54 Shogoin-kawahara-cho, Sakyo-ku
606 – 8507 Kyoto
Japan
eMail: bando@kuhp.kyoto-u.ac.jp