Pulmonary Hypertension and Right Ventricular Failure Lung Transplant Versus Heart-Lung Transplant

被引:4
作者
Huston, Jessica H. [1 ]
Brittain, Evan L. [2 ]
Robbins, Ivan M. [3 ]
机构
[1] Vanderbilt Univ, Dept Med, Div Cardiovasc Med, Med Ctr, 1215 21st Ave South,Suite 5037, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Dept Med, Div Cardiovasc Med, Med Ctr, 2525 West End Ave,Suite 300A, Nashville, TN 37203 USA
[3] Vanderbilt Univ, Med Ctr, Div Allergy Pulm & Crit Care Med, 1161 21st Ave South,T1218 MCN, Nashville, TN USA
基金
美国国家卫生研究院;
关键词
Lung transplant; Pulmonary arterial hypertension; Right ventricular failure; Heart-lung transplant; CARDIOVASCULAR MAGNETIC-RESONANCE; OFFICIAL ADULT LUNG; ISHLT WORKING GROUP; INTERNATIONAL-SOCIETY; GRAFT DYSFUNCTION; PROGNOSTIC VALUE; BILATERAL-LUNG; EUROPEAN ASSOCIATION; PREDICTS SURVIVAL; AMERICAN SOCIETY;
D O I
10.1016/j.ccl.2020.01.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pulmonary arterial hypertension is a highly morbid disease with limited treatment options that improve survival and currently the only curative treatment is transplantation. There is a small body of literature comparing the efficacy of lung and heart-lung transplantation in this population. The bulk of evidence suggests that most patients with severe right ventricular failure undergoing transplant will have recovery of right ventricular function after lung transplantation. Existing data suggest that, in the absence of complex congenital heart disease or significant left ventricular dysfunction, double-lung transplant is the surgical procedure of choice.
引用
收藏
页码:269 / +
页数:14
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