title: Pulmonary dysfunction after lung transplantation: the dilemma of coexisting mitral regurgitation.
abstract: A case of MR progression after single-lung transplant as a significant contributor to postoperative respiratory failure is reported. Pre-existing MR may progress due to the decompressive effects of lung transplantation on RV dimension and consequent alteration of MV geometry. This case highlights the importance of intraoperative TEE findings, especially pertaining to valvulopathies in the setting of lung transplantation. Postoperative surveillance of significant findings is imperative when any new symptoms are being investigated.
authors.affiliation: Divisions of Cardiothoracic Anesthesiology, Department of Anesthesiology. Electronic address: Sharon.McCartney@duke.edu.
authors.forename: Sharon L
authors.initials: SL
authors.lastname: McCartney
authors.affiliation: Divisions of Cardiothoracic Anesthesiology, Department of Anesthesiology.
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Colin
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC.
authors.forename: R
authors.initials: R
authors.lastname: Duane Davis
authors.affiliation: Divisions of Cardiothoracic Anesthesiology, Department of Anesthesiology.
authors.forename: J Mauricio
authors.initials: JM
authors.lastname: Del Rio
authors.affiliation: Divisions of Cardiothoracic Anesthesiology, Department of Anesthesiology.
authors.forename: Madhav
authors.initials: M
authors.lastname: Swaminathan
mesh_terms: D019560:Echocardiography, Three-Dimensional / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D054990:Idiopathic Pulmonary Fibrosis / Q000150:complications* / Q000601:surgery*; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging*
keywords: lung transplantation; mitral regurgitation; respiratory insufficiency