Pulmonary Dysfunction After Lung Transplantation: The Dilemma of Coexisting Mitral Regurgitation

A case of MR progression after single-lung transplant as a significant contributor to postoperative respiratory failure is reported. Pre-existing MR may progress due to the decompressive effects of lung transplantation on RV dimension and consequent alteration of MV geometry. This case highlights th...

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Bibliographic Details
Published in:Journal of cardiothoracic and vascular anesthesia 2014-12, Vol.28 (6), p.1696-1699
Main Authors: McCartney, Sharon L., MD, Colin, Brian J., MD, Duane Davis, R., MD, Mauricio Del Rio, J., MD, Swaminathan, Madhav, MD
Format: Article
Language:English
Subjects:
Anesthesia & Perioperative Care
Critical Care
Echocardiography, Three-Dimensional - methods
Echocardiography, Transesophageal - methods
Follow-Up Studies
Humans
Idiopathic Pulmonary Fibrosis - complications
Idiopathic Pulmonary Fibrosis - surgery
Lung Transplantation
Male
Middle Aged
mitral regurgitation
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mitral Valve Insufficiency - complications
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - surgery
Postoperative Complications - diagnostic imaging
respiratory insufficiency
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Summary:A case of MR progression after single-lung transplant as a significant contributor to postoperative respiratory failure is reported. Pre-existing MR may progress due to the decompressive effects of lung transplantation on RV dimension and consequent alteration of MV geometry. This case highlights the importance of intraoperative TEE findings, especially pertaining to valvulopathies in the setting of lung transplantation. Postoperative surveillance of significant findings is imperative when any new symptoms are being investigated.
ISSN:1053-0770
1532-8422
DOI:10.1053/j.jvca.2014.06.017