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.
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Yoshinaga, D., Baba, S., Hirata, T. et al. Living-donor lung transplantation after surgical repair of transposition of the great arteries. Gen Thorac Cardiovasc Surg 67, 640–643 (2019). https://doi.org/10.1007/s11748-018-1006-y
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DOI: https://doi.org/10.1007/s11748-018-1006-y