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.
Ohira
Hiroshi
H
First Department of Medicine, Hokkaido University School of Medicine, Sapporo, Hokkaido, Japan.
Tsujino
Ichizo
I
Sakaue
Shinji
S
Ikeda
Daisuke
D
Itoh
Naofumi
N
Kamigaki
Mitsunori
M
Ishimaru
Shinji
S
Date
Hiroshi
H
Sano
Yoshifumi
Y
Shimizu
Nobuyoshi
N
Nishimura
Masaharu
M
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