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Toshiki Takahashi
Goro Matsumiya
Shinichiro Miyoshi
Hikaru Matsuda
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Right arrow Lung - transplantation

Ann Thorac Surg 2006;81:360-362
© 2006 The Society of Thoracic Surgeons

Case report

Pulmonary Artery Dissection Complicating Lung Transplantation for Primary Pulmonary Hypertension

Yasushi Sakamaki, MD, Masato Minami, MD, Mitsunori Ohta, MD, Toshiki Takahashi, MD, Goro Matsumiya, MD, Shinichiro Miyoshi, MD, Hikaru Matsuda, MD *

Department of Surgery, Course of Interventional Medicine E1, Osaka University Graduate School of Medicine, Osaka, Japan

Accepted for publication August 13, 2004.

* Address correspondence to Dr Matsuda, Department of Surgery, Course of Interventional Medicine E1, Osaka University Graduate School of Medicine, Yamadaoka 2-2, Suita, 565-0871 Japan (Email: matsuda{at}surg1.med.osaka-u.ac.jp).

We report a case of pulmonary artery (PA) dissection complicating lung transplantation. A 30-year-old man with primary pulmonary hypertension underwent bilateral single lung transplantation. Thirty hours postoperatively he had signs of obstruction of the right main pulmonary artery develop due to dissection demonstrated on transesophageal echocardiography and pulmonary arteriography. Surgical repair of the dissection with reanastomosis of the pulmonary artery was successfully carried out, and the patient subsequently improved to a favorable condition. Pulmonary hypertension is a risk factor of pulmonary artery dissection; our case suggested that underlying chronic pulmonary hypertension might have led to this rare and life-threatening anastomotic problem after lung transplantation.




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[Abstract] [Fulltext] [PDF]


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