Heart Transplantation in a Patient with Complex Congenital Heart Disease, Physiologic Single Lung, and Severe Pulmonary Hypertension
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Here we report a case of successful heart transplantation (HT) in a patient with high risk on HT due to her complex congenital heart disease and its consequent complications; physiologic single lung and severe pulmonary arterial hypertension. HT was successfully performed in our patient using meticulous perioperative management techniques, such as control of collateral vessels, appropriate donor selection, pulmonary vasodilator therapy, post-transplant extracorporeal membranous oxygenation support, and atrial septostomy for right ventricular unloading.
Abstract
Here we report a case of successful heart transplantation (HT) in a patient with high risk on HT due to her complex congenital heart disease and its consequent complications; physiologic single lung and severe pulmonary arterial hypertension. HT was successfully performed in our patient using meticulous perioperative management techniques, such as control of collateral vessels, appropriate donor selection, pulmonary vasodilator therapy, post-transplant extracorporeal membranous oxygenation support, and atrial septostomy for right ventricular unloading.
참고문헌 (4)
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- Zuckerman WA, "Heart transplantation in the setting of complex congenital heart disease and physiologic single lung", J Thorac Cardiovasc Surg, 150, pp.1465~1472 (2015)
- Kogon B, "Cardiac transplantation in a patient with effective single left lung physiology", Transplantation, 84, pp.128~130 (2007)
- Reinhardt Z, "Paediatric heart transplantation : an update", Arch Dis Child, 104, pp.1216~1222 (2019)