Korean J Thorac Cardiovasc Surg.  2003 Jun;36(6):418-421.

Heart-Lung Transplantation in a Patient with VSD, PDA and Eisenmenger's Syndrome

• Paik HC
• Hong YS
• Kim DH
• Ham SJ
• Lee KJ
• Lee DY
• Kwon HM
• Kim HJ
• Cho SH

Abstract

Heart-lung transplantation is a widely accepted treatment for Eisenmenger's syndrome. The patient is a 41-years-old male diagnosed with Eisenmenger's syndrome due to patent ductus arteriosus. The pressures were checked as follows: aorta 130/80 mean 100 mmHg, pulmonary artery 130/80 mean 109 mmHg, and right ventricle 130/20 mmHg, right atrium mean 20 mmHg. The patient needed heart-lung transplantation due to enlarged right pulmonary artery (diameter 7.5 cm). The donor was a 24 years-old male diagnosed as brain death due to subdural hematoma. Ligation of patent ductus arteriosus was performed under the cardiopulmonary bypass followed by heart-lung transplantation. Patient was extubated on postoperative day one, transferred to the general ward on day 3, and was discharged on postoperative day 33. Cardiac and lung biopsy was performed on postoperative day 41 with no signs of rejection.

Keyword

Eisenmenger syndrome; Hypertension, pulmonary; Heart-lung transplantation

MeSH Terms

Aorta
Biopsy
Brain Death
Cardiopulmonary Bypass
Ductus Arteriosus, Patent
Eisenmenger Complex*
Heart Atria
Heart Ventricles
Heart-Lung Transplantation*
Hematoma, Subdural
Humans
Hypertension, Pulmonary
Ligation
Lung
Male
Patients' Rooms
Pulmonary Artery
Tissue Donors
Young Adult