Pulmonary Vein Stenosis After Single Lung Transplantation

Janet I Ma; James Mojica; Asishana Osho; Ignacio Inglessis-Azuaje; David M Dudzinski

doi:10.1016/j.jaccas.2024.102275

Pulmonary Vein Stenosis After Single Lung Transplantation

JACC Case Rep. 2024 Apr 17;29(8):102275. doi: 10.1016/j.jaccas.2024.102275.

Authors

Janet I Ma¹, James Mojica², Asishana Osho^{3

4}, Ignacio Inglessis-Azuaje¹, David M Dudzinski^{1

4}

Affiliations

¹ Division of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
² Division of Pulmonary and Critical Care, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
³ Division of Cardiac and Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
⁴ Heart Center Intensive Care Unit, Massachusetts General Hospital, Boston, Massachusetts.

Abstract

A 72-year-old man with interstitial lung disease underwent a planned single lung transplantation. His late postoperative course was notable for hemodynamic deterioration, after which severe right pulmonary vein anastomotic stenosis was identified via echocardiogram. The case highlights a rare complication of lung transplantation diagnosed by using transesophageal echocardiogram.

Keywords: computed tomography; echocardiography; hemodynamics; postoperative; pulmonary circulation; pulmonary hypertension; stenosis.