Endovascular trans-atrial stenting of pulmonary vein stenosis after lung transplantation.
Michaela OrlitováMarc GewilligJan Van SlambrouckDirk VlasselaersBart JacobsArne P NeyrinckLieven DepypereLaurent GodinasRobin VosGeert M VerledenDirk E Van RaemdonckLaurens Joseph CeulemansPublished in: American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons (2022)
Pulmonary vein stenosis (PVS) and pulmonary vein occlusion (PVO) represent rare complications after lung transplantation (LTx) with limited therapeutic options and high risk of graft loss. We present two cases of successful endovascular trans-atrial stenting following double-LTx. A 60-year-old female with chronic obstructive pulmonary disease who underwent double lobar-LTx was diagnosed at post-operative day 72 with a high grade PVS on the left side. A 22-year-old female with idiopathic pulmonary arterial hypertension who underwent double-LTx was diagnosed 9 days later with PVO of the left upper lobe vein. To avoid surgical reintervention, an endovascular trans-atrial dilatation and stenting was performed successfully in both cases. Trans-atrial endovascular stenting of PVS or PVO post-LTx seems an effective and safe treatment option that should be considered for these life-threatening complications and executed with care.
Keyphrases
- pulmonary arterial hypertension
- atrial fibrillation
- antiplatelet therapy
- left atrial
- high grade
- chronic obstructive pulmonary disease
- catheter ablation
- aortic dissection
- extracorporeal membrane oxygenation
- pulmonary hypertension
- healthcare
- acute coronary syndrome
- percutaneous coronary intervention
- palliative care
- low grade
- risk factors
- heart failure
- lung function
- left ventricular
- mitral valve
- pain management
- coronary artery
- health insurance
- smoking cessation
- replacement therapy