Technical challenges of lung transplantation in children after arterial switch operation.

Authors :: Martens T
Kostolny M
Spencer H
Muthialu N
Source :: Interactive cardiovascular and thoracic surgery [Interact Cardiovasc Thorac Surg] 2019 Mar 01; Vol. 28 (3), pp. 493-495.
Publication Year :: 2019
Abstract: Pulmonary arterial hypertension after arterial switch operation for transposition of the great arteries is rare. Lung transplantation can be the last option in cases of failed medical therapy. We report 2 paediatric patients who underwent lung transplantation for this indication. Altered hilar anatomy, mediastinal adhesions and haemostatic control represent the main technical challenges. Volume-reduction surgery is sometimes necessary to address altered cardiopulmonary relationships while expanding the donor pool.<br /> (© The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)

Subjects :: Child
Child, Preschool
Fatal Outcome
Female
Humans
Hypertension, Pulmonary diagnosis
Hypertension, Pulmonary etiology
Male
Postoperative Complications
Tomography, X-Ray Computed
Transposition of Great Vessels diagnosis
Arterial Switch Operation adverse effects
Hypertension, Pulmonary surgery
Lung Transplantation methods
Transposition of Great Vessels surgery

Full Text Access

Tools