Korean J Transplant.  2021 Dec;35(4):257-261. 10.4285/kjt.21.0029.

Heart transplantation in a patient with complex heart lung disease: a case report

  • 1Division of Cardiology, Department of Internal Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea


Heart disease is often accompanied by lung disease as they share the same risk factors. Heart or lung transplantation is regarded as a definitive treatment for the end-stage disease of each, while the expected median survival for lung transplantation is far shorter than heart transplantation. We present a case of refractory heart failure along with severe obstructive and restrictive lung disease that showed dramatic improvement in pulmonary function after single heart transplantation.


Heart transplantation; Heart failure; Pulmonary function test; Lung transplantation; Case report


  • Fig. 1 (A) Chest radiograph. (B) Initial electrocardiogram. (C) Still image of echocardiography. (D) Chest computed tomography.

  • Fig. 2 Serial pulmonary function test results. FVC, forced vital capacity; PRED, predicted; FEV, forced expiratory volume; DLCO, diffusing capacity for carbon monoxide; PRE, pre-bronchodilator; POST, post-bronchodilator.


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