Balloon angioplasty for pulmonary artery stenosis after lung transplantation

• Published in: European journal of cardio-thoracic surgery 2008-09, Vol.34 (3), p.693-694
• Main Authors: Shoji, Tsuyoshi, Hanaoka, Nobuharu, Wada, Hiromi, Bando, Toru
• Format: Article
• Language: English
• Subjects: Anastomosis; Angioplasty, Balloon - methods; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Complications; Diseases of the cardiovascular system; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Female; Humans; Lung; Lung Transplantation - adverse effects; Medical sciences; Middle Aged; Pneumology; Pulmonary Valve Stenosis - diagnostic imaging; Pulmonary Valve Stenosis - etiology; Pulmonary Valve Stenosis - therapy; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Tomography, X-Ray Computed; Transplantation
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1016/j.ejcts.2008.06.005

We report here a successful case of balloon angioplasty for a stenosis of the pulmonary artery after lung transplantation. A 49-year-old patient with end stage diffuse bronchiectasis with sinusitis underwent bilateral living donor lobar lung transplantation. After treatment of postoperative right pneumothorax, a perfusion lung scan revealed deficient perfusion in the left lung. Pulmonary angiography showed a severe stenosis in the left pulmonary artery just distal to the anastomosis. Percutaneous balloon angioplasty improved both pulmonary perfusion and respiratory function.