Martens Thomas, Kostolny Martin, Spencer Helen, Muthialu Nagarajan
Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Department of Cardiac Surgery, University Hospital Ghent, Ghent, Belgium.
Interact Cardiovasc Thorac Surg. 2019 Mar 1;28(3):493-495. doi: 10.1093/icvts/ivy253.
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.
大动脉转位动脉调转术后发生的肺动脉高压较为罕见。在药物治疗失败的情况下，肺移植可能是最后的选择。我们报告了2例因该适应症接受肺移植的儿科患者。肺门解剖结构改变、纵隔粘连和止血控制是主要的技术挑战。有时需要进行减容手术来解决心肺关系改变的问题，同时扩大供体库。
