Pulmonary artery dissection complicating lung transplantation for primary pulmonary hypertension

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

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)360-362
Number of pages3
JournalAnnals of Thoracic Surgery
Volume81
Issue number1
DOIs
Publication statusPublished - Jan 2006

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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