Pulmonary artery dissection complicating lung transplantation for primary pulmonary hypertension.
We report a case of pulmonary artery (PA) dissection complicating lung transplantation. A 30-year-old man with primary pulmonary hypertension underwent bilateral single lung transplantation. Thirty hours postoperatively he had signs of obstruction of the right main pulmonary artery develop due to dissection demonstrated on transesophageal echocardiography and pulmonary arteriography. Surgical repair of the dissection with reanastomosis of the pulmonary artery was successfully carried out, and the patient subsequently improved to a favorable condition. Pulmonary hypertension is a risk factor of pulmonary artery dissection; our case suggested that underlying chronic pulmonary hypertension might have led to this rare and life-threatening anastomotic problem after lung transplantation.
Sakamaki
Yasushi
Y
Department of Surgery, Course of Interventional Medicine E1, Osaka University Graduate School of Medicine, Osaka, Japan.
Minami
Masato
M
Ohta
Mitsunori
M
Takahashi
Toshiki
T
Matsumiya
Goro
G
Miyoshi
Shinichiro
S
Matsuda
Hikaru
H
D000328:Adult; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000601:surgery*; D016040:Lung Transplantation; D008297:Male; D010496:Pericardium / Q000637:transplantation; D011183:Postoperative Complications / Q000601:surgery*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D017792:Surgical Stapling; D013536:Suture Techniques; D014014:Tissue Adhesives; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D014463:Ultrasonography
D014014:Tissue Adhesives