Recurrent pulmonary vein stenosis in a pediatric bilateral lung transplant recipient

Timothy Klouda, Francis Fynn-Thompson, Kathy Jenkins, Michael Farias, Christina M. Ireland, Jennifer Mosey, Wai Wong, Saba Sheikh, Christian Benden, Gary Visner

Boston Children’s Hospital and Harvard Medical School.
United States

Journal of Heart and Lung Transplantation Open
JHLT Open 2026; 14:
DOI: 10.1016/j.jhlto.2026.100650

Abstract
Pulmonary vein stenosis (PVS) is characterized by luminal narrowing from neointimal proliferation, leading to the obstruction of pulmonary venous blood flow. Lung transplantation is considered a definitive treatment for patients with severe and progressive PVS that is unresponsive to treatment. We present a case in which a three-year-old female who received a bilateral lung transplant for PVS was diagnosed with disease recurrence in multiple veins. This case highlights the need to discuss the possibility of PVS returning during pre-transplant counseling and advocates for frequent monitoring in the post-transplant period.

Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Stenosis or Obstruction of Pulmonary Veins Following Heart or Lung Transplantation
Lung Transplantation for Pulmonary Venous Obstruction

Year of Publication: 2026

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: Yes