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(Chest. 1999;116:564-566.)
© 1999 American College of Chest Physicians

Anastomotic Pulmonary Hypertension After Lung Transplantation for Primary Pulmonary Hypertension*

Report of Surgical Correction

Cynthia M. Soriano, MD; Sean P. Gaine, MD, FCCP; John V. Conte, MD, FCCP; R. Paul Fairman, MD, FCCP; Charles White, MD and Lewis J. Rubin, MD, FCCP

* From the Department of Medicine, Division of Pulmonary and Critical Care Medicine (Drs. Soriano, Gaine, and Rubin), the Department of Radiology (Dr. White), and the Department of Surgery, Division of Cardiothoracic Surgery (Dr. Conte), University of Maryland School of Medicine, Baltimore, MD; and the Department of Medicine (Dr. Fairman), Medical College of Virginia, Richmond, VA.

Correspondence to: Lewis J. Rubin, MD, FCCP, University of California, San Diego School of Medicine, 200 W. Arbor Dr, San Diego, CA 92103; e-mail: ljrubin{at}ucsd.edu

This report describes a patient who developed pulmonary hypertension 6 years after lung transplantion for primary pulmonary hypertension (PPH). Evaluation with right heart catheterization followed by pulmonary angiography, however, demonstrated that the pulmonary hypertension was secondary to an anastomotic narrowing of the pulmonary artery, rather than a recurrence of her PPH. Vascular complications of lung transplantation should be considered in patients who experience exertional dyspnea after lung transplantation. The suggestion of pulmonary hypertension on echocardiography should prompt further evaluation, including meticulous hemodynamic measurements.

Key Words: pulmonary hypertension • transplantation






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Copyright © 1999 by the American College of Chest Physicians.