Heart-lung transplantation for 4 patients with Eisenmenger’s syndrome
- VernacularTitle:心、肺联合移植治疗艾森门格综合征四例
- Author:
Huimin FAN
;
Zhongmin LIU
;
Jianhua GUO
- Publication Type:Journal Article
- Keywords:
Heart-lung transplantation;
Eisenmenger complex;
Heart diseases
- From:
Chinese Journal of Organ Transplantation
2003;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of heart-lung transplantation.Methods Four patients with Eisenmenger’s syndrome underwent heart-lung homoplastic transplantation. All patients were complicated with severe pulmonary hypertension in New York Heart Association ( NYHA ) functional class IV. Cannulation for cardiopulmonary bypass consisted of a cannula in the high ascending aorta and separate vena caval cannulas. The heart-lung graft was moved into the chest, beginning with passage of the lung before the phrenic nerve pedicle. The bronchus was trimmed, leaving two cartilaginous rings proximal to the orifice of the upper lobe. The tracheal anastomosis was performed with a continuous 4-0 polypropylene suture, with the posterior portion continuously and anterior interrupted. The lungs were then ventilated (
