title: Lung Transplant for Pulmonary Arterial Hypertension After Arterial Switch Operation.
abstract: Pulmonary arterial hypertension after arterial switch operation for transposition of the great arteries is an infrequent but life-threatening complication. We report successful lung transplantation in a case of pulmonary hypertension after arterial switch operation. Cardiopulmonary bypass outflow was established through the right subclavian and femoral arteries because of the previous arterial switch operation. Abnormal anatomy and severe pleural and pericardial adhesions as a result of previous operations resulted in prolonged graft ischemic and operation times. Despite delayed left heart adaptation and primary graft dysfunction requiring prolonged extracorporeal membrane oxygenation, the recipient was eventually discharged without activity limitations.
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan. Electronic address: tatsuaki_watanabe@yahoo.co.jp.
authors.forename: Tatsuaki
authors.initials: T
authors.lastname: Watanabe
authors.affiliation: Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Adachi
authors.affiliation: Department of Pediatrics, Kushiro Red Cross Hospital, Kushiro, Japan.
authors.forename: Yasuto
authors.initials: Y
authors.lastname: Suzuki
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Notsuda
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Niikawa
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Matsuda
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Noda
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
authors.forename: Tetsu
authors.initials: T
authors.lastname: Sado
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Hoshikawa
authors.affiliation: Division of Organ Transplantation, Tohoku University Hospital, Sendai, Japan.
authors.forename: Miki
authors.initials: M
authors.lastname: Akiba
authors.affiliation: Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Tatebe
authors.affiliation: Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
authors.forename: Yoshikatsu
authors.initials: Y
authors.lastname: Saiki
authors.affiliation: Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Okada
mesh_terms: D000069278:Arterial Switch Operation / Q000009:adverse effects*; D002648:Child; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000601:surgery*; D016040:Lung Transplantation; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000601:surgery*