Recovery of protein-losing enteropathy after living-donor lobar lung transplantation in primary pulmonary hypertension.
The patient investigated was a 43-year-old woman with primary pulmonary hypertension (PPH) and refractory protein-losing enteropathy (PLE). She underwent living-donor lobar lung transplantation (LDLLT), which led to remarkable improvement in both pulmonary hypertension and PLE. Although there have been no reports, to our knowledge, that have demonstrated PLE as a complication of PPH, the present case clearly shows how PLE could complicate PPH. In addition, and more importantly, hypo-proteinemia due to PLE should not necessarily be an exclusion criterion for lung transplantation when PPH is involved, because it could markedly improve after transplantation.
First Department of Medicine, Hokkaido University School of Medicine, Sapporo, Hokkaido, Japan.
Hiroshi
H
Ohira
Ichizo
I
Tsujino
Shinji
S
Sakaue
Daisuke
D
Ikeda
Naofumi
N
Itoh
Mitsunori
M
Kamigaki
Shinji
S
Ishimaru
Hiroshi
H
Date
Yoshifumi
Y
Sano
Nobuyoshi
N
Shimizu
Masaharu
M
Nishimura
D000328:Adult; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications / Q000601:surgery*; D019520:Living Donors; D016040:Lung Transplantation; D011504:Protein-Losing Enteropathies / Q000209:etiology / Q000601:surgery*; D020127:Recovery of Function