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Ann Thorac Surg 1992;53:700-702
© 1992 The Society of Thoracic Surgeons

Articles

Heart and unilateral lung transplantation for cardiomyopathy with high pulmonary vascular resistance

JoséPedro da Silva, MD*, JoséHenrique Andrade Vila, MD, Marcelo Matos Cascudo, MD, JoséFrancisco Baumgratz, MD, Paulo A.Pinto Saraiva, MD, Carlos D'Andretta Netto, MD

Division of Cardiothoracic Surgery, Hospital da Beneficencia Portuguesa, Sao Paulo, Brazil

Accepted for publication August 27, 1991.

* Address reprint requests to Dr da Silva, Rua Tomas Carvalhal, 540/71, Sao Paulo, 04006, Brazil.

Heart and left lung (en bloc) transplantation was used as an approach to end-stage cardiomyopathy with very high pulmonary vascular resistance. This surgical method was applied to a 13-year-old girl who did very well initially, but died 5 months later of severe pulmonary and cardiac rejection. The pulmonary perfusion scintigraphy showed equalization of the blood flow in both lungs after 42 days, and complete reversal of the pulmonary vascular chnages in the opposite lung was observed at actospy.






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Copyright © 1992 by The Society of Thoracic Surgeons.