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J Thorac Cardiovasc Surg 2008;135:451-452
© 2008 The American Association for Thoracic Surgery


Brief Communication

Long-term follow-up of living-donor single lobe transplantation for idiopathic pulmonary arterial hypertension in a child

Shinichi Toyooka, MDa, Yoshifumi Sano, MDa, Masaomi Yamane, MDa, Takahiro Oto, MDa, Megumi Okazaki, RNa, Kengo Fukushima Kusano, MDb, Hiroshi Date, MDa,*

a Department of Cancer and Thoracic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
b Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

Received for publication August 14, 2007; accepted for publication October 2, 2007.

* Address for reprints: Hiroshi Date, MD, Department of Cancer and Thoracic Surgery (Surgery II), Okayama University School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-Cho, Okayama 700-8558, Japan. (Email: hdate@md.okayama-u.ac.jp).

The first 20% of the full text of this article appears below.

We1Go previously reported that a 10-year-old boy with primary pulmonary hypertension, defined as idiopathic pulmonary arterial hypertension (IPAH), underwent successful right single lobe transplantation using his mother's right lower lobe. The dramatic improvement of his pulmonary hemodynamics was maintained through a 6-month follow-up period. However, long-term durability of hemodynamics as the boy grows remains a major unresolved issue. The IPAH patient has been carefully observed for more than 6 years with regular evaluation of lung and cardiac function. In this article, we present the long-term results of cardiopulmonary function of the growing boy who received a mature adult single lobe.

Clinical Summary

The details of the patient's clinical course were described in our previous report.1Go In brief, a 10-year-old boy with IPAH underwent right single lobe transplantation using the right lower lobe from his 38-year-old mother. The forced vital capacity . . . [Full Text of this Article]







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