Korean J Thorac Cardiovasc Surg.  1998 Oct;31(10):1004-1008.

A Case Report of Heart-Lung Transplantation

• Rho JR
• Huh JH
• Oh SS
• Kim YT
• Lee JR
• Kim KB
• Oh BH
• Han SG

Abstract

We report a case of heart-lung transplantation in a 32 year-old female with Eisenmenger syndrome secondary to patent ductus arteriosus. She has been suffered from congestive heart failure since June 1996 and repeatedly treated at Intensive Care Unit with intravenous inotropic support since July 1997. Preoperative echocardiography showed a patent ductus arteriosus with right to left shunt, severe regurgitation of tricuspid valve and estimated right ventricular systolic pressure of 100mmHg. The brain-dead donor was an 18 year-old male with head trauma from traffic accident 3 days ago. Heart-lung block procurement was performed at another general hospital and was transported to the Seoul National University Hospital by ambulance. Total ischemic time of the transplanted heart and lung were 249 minutes and 270 minutes, respectively. The immunosuppressive therapy was commenced preoperatively with cyclosporine and azathioprine. Corticosteroid was not used until postoperative 3 weeks in order to avoid infection and delayed healing at the tracheal anastomotic site. The patient was discharged at 31st postoperative day, and has been regularly followed up at outpatient clinic without specific complication. The follow-up bronchoscopy, performed 2 weeks and 4 months after surgery, revealed no evidence of cellular rejection.

Keyword

Heart-lung transplantation

MeSH Terms

Accidents, Traffic
Adolescent
Adult
Ambulances
Ambulatory Care Facilities
Azathioprine
Blood Pressure
Bronchoscopy
Craniocerebral Trauma
Cyclosporine
Ductus Arteriosus, Patent
Echocardiography
Eisenmenger Complex
Female
Follow-Up Studies
Heart
Heart Failure
Heart-Lung Transplantation*
Hospitals, General
Humans
Intensive Care Units
Lung
Male
Seoul
Tissue Donors
Tricuspid Valve
Azathioprine
Cyclosporine