Living-donor lung transplantation after surgical repair of transposition of the great arteries

Daisuke Yoshinaga, Shiro Baba, Takuya Hirata, Hiroyuki Fukushima, Masatsugu Hamaji, Akihiro Aoyama, Toyofumi F. Chen-Yoshikawa, Hiroyuki Yamagishi, Hiroshi Date, Toshio Heike

Research output: Contribution to journalArticle

Abstract

Pediatric pulmonary hypertension after surgery for congenital heart disease is a significant complication. We present a case of living-donor lung transplantation for a 12-year-old girl with pulmonary hypertension after surgical repair of transposition of great arteries. Despite repairing the transposition of great arteries, her growth was severely restricted because of progressive pulmonary hypertension; thus, lung transplantation was discussed. Standard bilateral lobar transplantation seemed unfeasible due to oversized grafts, so we performed a single lobar transplantation. Unexpectedly, she developed complications and died 3 months postoperatively despite another emergent lobar transplantation. We discussed the challenges and potential solutions regarding lobar size mismatching.

Original languageEnglish
JournalGeneral Thoracic and Cardiovascular Surgery
DOIs
Publication statusAccepted/In press - 2018 Jan 1

Fingerprint

Transposition of Great Vessels
Lung Transplantation
Living Donors
Pulmonary Hypertension
Transplantation
Heart Diseases
Pediatrics
Transplants
Growth

Keywords

  • Lung transplantation
  • Pulmonary hypertension
  • Transposition of great vessels

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Living-donor lung transplantation after surgical repair of transposition of the great arteries. / Yoshinaga, Daisuke; Baba, Shiro; Hirata, Takuya; Fukushima, Hiroyuki; Hamaji, Masatsugu; Aoyama, Akihiro; Chen-Yoshikawa, Toyofumi F.; Yamagishi, Hiroyuki; Date, Hiroshi; Heike, Toshio.

In: General Thoracic and Cardiovascular Surgery, 01.01.2018.

Research output: Contribution to journalArticle

Yoshinaga, Daisuke ; Baba, Shiro ; Hirata, Takuya ; Fukushima, Hiroyuki ; Hamaji, Masatsugu ; Aoyama, Akihiro ; Chen-Yoshikawa, Toyofumi F. ; Yamagishi, Hiroyuki ; Date, Hiroshi ; Heike, Toshio. / Living-donor lung transplantation after surgical repair of transposition of the great arteries. In: General Thoracic and Cardiovascular Surgery. 2018.
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AU - Aoyama, Akihiro

AU - Chen-Yoshikawa, Toyofumi F.

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