Thorac Cardiovasc Surg 2009; 57(1): 48-50
DOI: 10.1055/s-2008-1038638
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Right Ventricular Outflow Tract Obstruction after Bilateral Lung Transplantation

F. Chen1 , N. Hanaoka1 , S. Hasegawa1 , T. Fujinaga1 , T. Shoji1 , H. Sakai1 , T. Bando1
  • 1Thoracic Surgery, Kyoto University, Kyoto, Japan
Further Information

Publication History

Received October 4, 2007

Publication Date:
23 January 2009 (online)

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