Kyle W. Riggs, Clifford W. Chin, Roosevelt Bryant, Farhan Zafar, Clifford Chin, Marc G. Schecter, David L. S. Morales
Cincinnati Children’s Hospital Medical Center.
United States
World Journal of Pediatric and Congenital Heart Surgery
World J Pediatr Congenit Heart Surg 2021; 12: 136-138
DOI: 10.1177/2150135118815876
Abstract
We report a combined heart-lung transplantation following seven prior sternotomies in a patient born with a transitional atrioventricular septal defect. Previous surgeries to repair and replace the mitral valve led to pulmonary vein stenosis and pulmonary vascular disease. Eighth-time sternotomy and significant vascular adhesions led to a prolonged operation and to placing the heart-lung block anterior to the phrenic nerves. Despite this, the patient was ready for discharge after two weeks and continues to do well over nine months later. As more patients survive multiple cardiac palliations with some developing pulmonary vascular disease, heart-lung transplantation may become relevant again.
Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Lung Transplantation for Pulmonary Venous Obstruction
Year of Publication: 2021
Age Focus: Pediatric
Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)
Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No