Successful angioplasty and stent treatment of pulmonary vein stenosis after single-lung transplantation.
In this report we describe a 42-year-old man with idiopathic pulmonary fibrosis with a progressive course who underwent right single-lung transplantation in November 2007. The post-operative course showed a decline of gas exchange, and chest X-ray revealed pneumonic infiltrates. Computerized tomography (CT) scans showed high-grade stenosis of the right superior pulmonary vein. The pulmonary vein stenosis was treated with percutaneous transseptal stent implantation leading to rapid improvement of gas exchange and clinical condition, and a retransplantation could be avoided.
Zimmermann
Gregor S
GS
Department of Internal Medicine I, Division of Pulmonary Diseases, Ludwig-Maximilians-University, Klinikum Grosshadern, Munich, Germany.
Reithmann
Christopher
C
Strauss
Tim
T
Hatz
Rudolph
R
Brenner
Paolo
P
Uberfuhr
Alois
A
Frey
Lorenz
L
Nikolaou
Konstandin
K
Behr
Juergen
J
D000328:Adult; D017130:Angioplasty / Q000379:methods; D003251:Constriction, Pathologic / Q000601:surgery*; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D011658:Pulmonary Fibrosis / Q000601:surgery*; D011668:Pulmonary Veno-Occlusive Disease / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome