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Ann Thorac Surg 1999;67:841-843
© 1999 The Society of Thoracic Surgeons


Case Reports

Heart/single-lung transplant for a "failed Fontan" with pulmonary A-V malformation

Antonio R. Mott, MDa,d, Thomas L. Spray, MDb,e, Nancy D. Bridges, MDc,f

a Department of Anesthesiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
b Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
c Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
d Division of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
e Division of Cardiothoracic Surgery, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
f Division of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

Accepted for publication August 28, 1998.

Address reprint requests to Dr Bridges, Pediatric Cardiology, The Children’s Hospital of Philadelphia, 34th St and Civic Center Blvd, Philadelphia, PA 19104
e-mail: Bridges{at}email.chop.edu

Pulmonary arteriovenous malformation can occur in patients with functional single ventricle after a cavopulmonary connection. There is no effective medical treatment for this complication. Pulmonary arteriovenous malformations may regress over time after heart transplantation, but may be a source of significant perioperative morbidity. We report the case of a woman with single ventricle, ventricular dysfunction, and bilateral pulmonary arteriovenous malformations who had successful treatment of both cardiac and pulmonary failure with en bloc heart and right lung transplantation.




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J. Thorac. Cardiovasc. Surg.Home page
E. A. Bacha, R. A. Jonas, J. E. Mayer Jr, S. Perry, and P. J. del Nido
MANAGEMENT OF PULMONARY ARTERIOVENOUS MALFORMATIONS AFTER SURGERY FOR COMPLEX CONGENITAL HEART DISEASE
J. Thorac. Cardiovasc. Surg., January 1, 2000; 119(1): 175 - 176.
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