Technical challenges of lung transplantation in children after arterial switch operation

被引:2
作者
Martens, Thomas [1 ,2 ]
Kostolny, Martin [1 ,3 ]
Spencer, Helen [4 ]
Muthialu, Nagarajan [1 ]
机构
[1] Great Ormond St Hosp Children NHS Fdn Trust, Dept Cardiothorac Surg, London, England
[2] Univ Hosp Ghent, Dept Cardiac Surg, Ghent, Belgium
[3] Slovak Med Univ, Bratislava, Slovakia
[4] Great Ormond St Hosp Children NHS Fdn Trust, Dept Transplantat, London, England
关键词
Lung transplantation; Arterial switch; Pulmonary hypertension; Paediatric; HYPERTENSION;
D O I
10.1093/icvts/ivy253
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:493 / 495
页数:3
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