Technical challenges of lung transplantation in children after arterial switch operation

Thomas Martens; Martin Kostolny; Helen Spencer; Nagarajan Muthialu

doi:10.1093/icvts/ivy253

Technical challenges of lung transplantation in children after arterial switch operation

Interact Cardiovasc Thorac Surg. 2019 Mar 1;28(3):493-495. doi: 10.1093/icvts/ivy253.

Authors

Thomas Martens^{1

2}, Martin Kostolny^{1

3}, Helen Spencer⁴, Nagarajan Muthialu¹

Affiliations

¹ Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
² Department of Cardiac Surgery, University Hospital Ghent, Ghent, Belgium.
³ Slovak Medical University, Bratislava, Slovakia.
⁴ Department of Transplantation, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

PMID: 30107403
DOI: 10.1093/icvts/ivy253

Abstract

Pulmonary arterial hypertension after arterial switch operation for transposition of the great arteries is rare. Lung transplantation can be the last option in cases of failed medical therapy. We report 2 paediatric patients who underwent lung transplantation for this indication. Altered hilar anatomy, mediastinal adhesions and haemostatic control represent the main technical challenges. Volume-reduction surgery is sometimes necessary to address altered cardiopulmonary relationships while expanding the donor pool.

Keywords: Arterial switch; Lung transplantation; Paediatric; Pulmonary hypertension.

Publication types

Case Reports

MeSH terms

Arterial Switch Operation / adverse effects*
Child
Child, Preschool
Fatal Outcome
Female
Humans
Hypertension, Pulmonary / diagnosis
Hypertension, Pulmonary / etiology
Hypertension, Pulmonary / surgery*
Lung Transplantation / methods*
Male
Postoperative Complications
Tomography, X-Ray Computed
Transposition of Great Vessels / diagnosis
Transposition of Great Vessels / surgery*