title: [Experience in treatment of Eisenmenger's syndrome by heart-lung transplantation].
abstract: OBJECTIVE
  To summarize the experience in treatment of Eisenmenger's syndrome by heart-lung transplantation (HLT).
  
  
  METHODS
  Two cases of congenital heart disease with Eisenmenger's syndrome, aged 20 and 22, underwent bicaval orthotopic HLT. Modified St. Thomas cardioplegic solution and modified LPD solution were used to preserve the donor heart and lung. After removing the heart and lung of the recipient and thorough hemostasis in thoracic cavity and mediastinal septum, the donor heart and lung was implanted, and trachea, superior/inferior vena cava and aortic artery were anastomosed gradually. Intensive care against infection, rejection and other complications were performed after operation.
  
  
  RESULTS
  The operations were successful. Tracheal anastomotic stenosis happened in one case seven months after HLT and was cured by sleeve resection of the stenosed trachea segment. Acute rejection happened in one case 10 days after HLT and was cured by stoss therapy. Both patients recovered to normal life and work.
  
  
  CONCLUSIONS
  The success of HLT is related to perfect organ preservation, precise surgical performance and proper peri-operative treatment.
authors.affiliation: Department of Thoracic and Cardiac Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Tang
authors.forename: Jian-Guo
authors.initials: JG
authors.lastname: Hu
authors.forename: Bang-Liang
authors.initials: BL
authors.lastname: Yin
authors.forename: Xin-Min
authors.initials: XM
authors.lastname: Zhou
authors.forename: Li-Min
authors.initials: LM
authors.lastname: Liu
authors.forename: Jian-Ming
authors.initials: JM
authors.lastname: Li
authors.forename: Jin-Fu
authors.initials: JF
authors.lastname: Yang
authors.forename: Feng
authors.initials: F
authors.lastname: Liu
authors.forename: Feng-Lin
authors.initials: FL
authors.lastname: Song
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.forename: Guo-Bao
authors.initials: GB
authors.lastname: Song
authors.forename: Hao
authors.initials: H
authors.lastname: Tang
mesh_terms: D000328:Adult; D004541:Eisenmenger Complex / Q000150:complications / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000150:complications / Q000601:surgery*; D016041:Heart-Lung Transplantation; D006801:Humans; D008297:Male; D016896:Treatment Outcome