No abstract available.
Female ; Fetal Heart* ; Fetal Movement* ; Heart Rate, Fetal* ; Music* ; Pregnancy

We report a case of heart-lung transplantation in a 32 year-old female with Eisenmenger syndrome secondary to patent ductus arteriosus. She has been suffered from congestive heart failure since June 1996 and repeatedly treated at Intensive Care Unit with intravenous inotropic support since July 1997. Preoperative echocardiography showed a patent ductus arteriosus with right to left shunt, severe regurgitation of tricuspid valve and estimated right ventricular systolic pressure of 100mmHg. The brain-dead donor was an 18 year-old male with head trauma from traffic accident 3 days ago. Heart-lung block procurement was performed at another general hospital and was transported to the Seoul National University Hospital by ambulance. Total ischemic time of the transplanted heart and lung were 249 minutes and 270 minutes, respectively. The immunosuppressive therapy was commenced preoperatively with cyclosporine and azathioprine. Corticosteroid was not used until postoperative 3 weeks in order to avoid infection and delayed healing at the tracheal anastomotic site. The patient was discharged at 31st postoperative day, and has been regularly followed up at outpatient clinic without specific complication. The follow-up bronchoscopy, performed 2 weeks and 4 months after surgery, revealed no evidence of cellular rejection.
Accidents, Traffic ; Adolescent ; Adult ; Ambulances ; Ambulatory Care Facilities ; Azathioprine ; Blood Pressure ; Bronchoscopy ; Craniocerebral Trauma ; Cyclosporine ; Ductus Arteriosus, Patent ; Echocardiography ; Eisenmenger Complex ; Female ; Follow-Up Studies ; Heart ; Heart Failure ; Heart-Lung Transplantation* ; Hospitals, General ; Humans ; Intensive Care Units ; Lung ; Male ; Seoul ; Tissue Donors ; Tricuspid Valve