| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1994;108:1056-1065
© 1994 Mosby, Inc.
CARDIAC AND PULMONARY REPLACEMENT |
Pittsburgh, Pa.
Address for reprints: Ko Bando, MD, Division of Cardiothoracic Surgery, C-700, Presbyterian University Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213
Abstract
The indications for single, bilateral, and heart-lung transplantation for patients with pulmonary hypertension remain controversial. We retrospectively analyzed the results from 11 single, 22 bilateral, and 24 heart-lung transplant procedures performed between January 1989 and January 1993 on 57 consecutive patients with pulmonary hypertension caused by primary pulmonary hypertension (n = 27) or Eisenmenger's syndrome (n = 30). Candidates with a left ventricular ejection fraction less than 35%, coronary artery disease, or Eisenmenger's syndrome caused by surgically irreparable complex congenital heart disease received heart-lung transplantation. All other candidates received single or bilateral lung transplantation according to donor availability. Although postoperative pulmonary artery pressures decreased in all three allograft groups, those in single lung recipients remained significantly higher than those in bilateral and heart-lung transplant recipients. A significant ventilation/perfusion mismatch occurred in the single lung recipients as compared with bilateral and heart-lung recipients because of preferential blood flow to the allograft. Graft-related mortality was significantly higher and overall functional recovery as assessed by New York Heart Association functional class was significantly lower at 1 year in the single as compared with bilateral and heart-lung recipients. Thus bilateral lung transplantation may be a more satisfactory option for patients with pulmonary hypertension with simple congenital heart disease, absent coronary arterial disease, and preserved left ventricular function. Other candidates will still require heart-lung transplantation. (J THORACCARDIOVASCSURG1994;108:1056-65)
This article has been cited by other articles:
|
|
 |
|
  National Pulmonary Hypertension Centres of the UK Consensus statement on the management of pulmonary hypertension in clinical practice in the UK and Ireland Heart, March 1, 2008; 94(Suppl_1): i1 - i41. [Full Text] [PDF]
|
|
|
|
 |
|
 National Pulmonary Hypertension Centres of the UK Consensus statement on the management of pulmonary hypertension in clinical practice in the UK and Ireland Thorax, March 1, 2008; 63(Suppl_2): ii1 - ii41. [Full Text] [PDF]
|
|
|
|
 |
|
 H. Laks, D. Marelli, M. Plunkett, and J. Myers Adult Congenital Heart Disease Card. Surg. Adult, January 1, 2008; 3(2008): 1431 - 1464. [Full Text]
|
|
|
|
 |
|
 G. Yung Lung Transplantation and Pulmonary Hypertension Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2007; 11(2): 149 - 156. [Abstract] [PDF]
|
|
|
|
 |
|
 S.M. Studer, R.D. Levy, K. McNeil, and J.B. Orens Lung transplant outcomes: a review of survival, graft function, physiology, health-related quality of life and cost-effectiveness Eur. Respir. J., October 1, 2004; 24(4): 674 - 685. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M.-T. Kasimir, G. Seebacher, P. Jaksch, G. Winkler, K. Schmid, G. M. Marta, P. Simon, and W. Klepetko Reverse cardiac remodelling in patients with primary pulmonary hypertension after isolated lung transplantation Eur. J. Cardiothorac. Surg., October 1, 2004; 26(4): 776 - 781. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. L. Doyle, D. McCrory, R. N. Channick, G. Simonneau, and J. Conte Surgical Treatments/Interventions for Pulmonary Arterial Hypertension: ACCP Evidence-Based Clinical Practice Guidelines Chest, July 1, 2004; 126(1_suppl): 63S - 71S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. Klepetko, E. Mayer, J. Sandoval, E. P. Trulock, J.-L. Vachiery, P. Dartevelle, J. Pepke-Zaba, S. W. Jamieson, I. Lang, and P. Corris Interventional and surgical modalities of treatment for pulmonary arterial hypertension J. Am. Coll. Cardiol., June 16, 2004; 43(12_Suppl_S): 73S - 80S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Laks, D. Marelli, M. Plunkett, J. Odim, and J. Myers Adult Congenital Heart Disease Card. Surg. Adult, January 1, 2003; 2(2003): 1329 - 1358. [Full Text]
|
|
|
|
|
|
R. Schulz, G. Baseler, H.A. Ghofrani, F. Grimminger, H. Olschewski, and W. Seeger Nocturnal periodic breathing in primary pulmonary hypertension Eur. Respir. J., April 1, 2002; 19(4): 658 - 663. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. C. Stoica, K. D. McNeil, K. Perreas, L. D. Sharples, D. K. Satchithananda, S. S. Tsui, S. R. Large, and J. Wallwork Heart-lung transplantation for Eisenmenger syndrome: early and long-term results Ann. Thorac. Surg., December 1, 2001; 72(6): 1887 - 1891. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. V. Conte, M. J. Borja, C. B. Patel, S. C. Yang, R. M. Jhaveri, and J. B. Orens Lung transplantation for primary and secondary pulmonary hypertension Ann. Thorac. Surg., November 1, 2001; 72(5): 1673 - 1680. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Franke, K. Wiebe, W. Harringer, T. Franke, T. Wittwer, T. Wahlers, and A. Haverich Ten years experience with lung and heart-lung transplantation in primary and secondary pulmonary hypertension Eur. J. Cardiothorac. Surg., October 1, 2000; 18(4): 447 - 452. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Williamson, L. L. Wallman, R. Jones, A. M. Keogh, F. Scroope, BEd, R. Penny, C. Weber, and P. S. Macdonald Hemodynamic Effects of Bosentan, an Endothelin Receptor Antagonist, in Patients With Pulmonary Hypertension Circulation, July 25, 2000; 102(4): 411 - 418. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. S. Huerd, T. N. Hodges, F. L. Grover, J. R. Mault, M. B. Mitchell, D. N. Campbell, S. Aziz, P. Chetham, F. Torres, and M. R. Zamora SECONDARY PULMONARY HYPERTENSION DOES NOT ADVERSELY AFFECT OUTCOME AFTER SINGLE LUNG TRANSPLANTATION J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 458 - 465. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ueno, J. A. Smith, G. I. Snell, T. J. Williams, T. C. Kotsimbos, M. Rabinov, and D. S. Esmore Bilateral sequential single lung transplantation for pulmonary hypertension and Eisenmenger’s syndrome Ann. Thorac. Surg., February 1, 2000; 69(2): 381 - 387. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Harringer, K. Wiebe, M. Struber, U. Franke, J. Niedermeyer, H. Fabel, and A. Haverich Lung transplantation--10-year experience. Eur. J. Cardiothorac. Surg., November 1, 1999; 16(5): 546 - 554. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kramm, E. Mayer, M. Dahm, S. Guth, T. Menzel, M. Pitton, and H. Oelert Long-term results after thromboendarterectomy for chronic pulmonary embolism Eur. J. Cardiothorac. Surg., May 1, 1999; 15(5): 579 - 584. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. I. Whyte, R. C. Robbins, J. Altinger, C. W. Barlow, R. Doyle, J. Theodore, and B. A. Reitz Heart-lung transplantation for primary pulmonary hypertension Ann. Thorac. Surg., April 1, 1999; 67(4): 937 - 941. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A Keller The donor lung: conservation of a precious resource Thorax, June 1, 1998; 53(6): 506 - 513. [Full Text]
|
|
|
|
|
|
J. S. Gammie, R. J. Keenan, S. M. Pham, M. F. McGrath, B. G. Hattler, E. Khoshbin, and B. P. Griffith Single- Versus Double-Lung Transplantation For Pulmonary Hypertension J. Thorac. Cardiovasc. Surg., February 1, 1998; 115(2): 397 - 403. [Abstract] [Full Text]
|
|
|
|
|
|
E. P. Chen, H. B. Bittner, D. M. Craig, R. D. Davis Jr, and P. Van Trigt III Pulmonary Hemodynamics and Blood Flow Characteristics in Chronic Pulmonary Hypertension Ann. Thorac. Surg., March 1, 1997; 63(3): 806 - 813. [Abstract] [Full Text]
|
|
|
|
|
|
N. F. DeLima, O. A. R. Binns, S. A. Buchanan, M. C. Mauney, J. T. Cope, K. S. Shockey, C. G. Tribble, and I. L. Kron EURO-COLLINS SOLUTION EXACERBATES LUNG INJURY IN THE SETTING OF HIGH-FLOW REPERFUSION J. Thorac. Cardiovasc. Surg., July 1, 1996; 112(1): 111 - 116. [Abstract] [Full Text]
|
|
|
|
|
|
E. Mayer, M. Dahm, U. Hake, F. X. Schmid, M. Pitton, I. Kupferwasser, S. Iversen, and H. Oelert Mid-Term Results of Pulmonary Thromboendarterectomy for Chronic Thromboembolic Pulmonary Hypertension Ann. Thorac. Surg., June 1, 1996; 61(6): 1788 - 1792. [Abstract] [Full Text]
|
|
|
|
 |
|
 R. J. Barst, L. J. Rubin, W. A. Long, M. D. McGoon, S. Rich, D. B. Badesch, B. M. Groves, V. F. Tapson, R. C. Bourge, B. H. Brundage, et al. A Comparison of Continuous Intravenous Epoprostenol (Prostacyclin) with Conventional Therapy for Primary Pulmonary Hypertension N. Engl. J. Med., February 1, 1996; 334(5): 296 - 301. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Single vs. Double Lung Transplant for Severe Pulmonary Hypertension Journal Watch Cardiology, February 1, 1995; 1995(201): 13 - 13. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
