Pulmonary artery torsion: a potentially lethal complication after orthotopic heart transplantation.
We report a case of a young man with acute right ventricular failure immediately after an orthotopic heart transplantation. The clinical presentation suggested acute reactive pulmonary hypertension. Hemodynamic and angiographic data proved it to be an inadvertent pulmonary artery torsion. The clinical hemodynamic and angiographic characteristics of this potentially lethal complication are discussed.
de Marchena
E
E
Division of Cardiology, University of Miami School of Medicine, FL 33101.
Futterman
L
L
Wozniak
P
P
Madrid
W
W
Mitrani
A
A
Myerburg
R J
RJ
Bolooki
H
H
D000328:Adult; D000792:Angiography; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D011655:Pulmonary Embolism / Q000150:complications; D014102:Torsion Abnormality