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

Keywords

  • Lung transplantation
  • Pulmonary hypertension
  • Transposition of great vessels

ASJC Scopus subject areas

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

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    Yoshinaga, D., Baba, S., Hirata, T., Fukushima, H., Hamaji, M., Aoyama, A., Chen-Yoshikawa, T. F., Yamagishi, H., Date, H., & Heike, T. (Accepted/In press). Living-donor lung transplantation after surgical repair of transposition of the great arteries. General Thoracic and Cardiovascular Surgery. https://doi.org/10.1007/s11748-018-1006-y