Heart-Lung Transplant via an Eighth-Time Sternotomy. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Riggs, Kyle W.; Chin, Clifford W.; Bryant, Roosevelt; Zafar, Farhan; Chin, Clifford; Schecter, Marc G.; Morales, David L. S.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 12:Issue 1(2021)
• Page Start: 136
• Page End: 138
• Publication Date: 2021-01
• Subjects: Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135118815876
• Languages: English
• ISSNs: 2150-1351

Abstract

We report a combined heart–lung transplantation following seven prior sternotomies in a patient born with a transitional atrioventricular septal defect. Previous surgeries to repair and replace the mitral valve led to pulmonary vein stenosis and pulmonary vascular disease. Eighth-time sternotomy and significant vascular adhesions led to a prolonged operation and to placing the heart–lung block anterior to the phrenic nerves. Despite this, the patient was ready for discharge after two weeks and continues to do well over nine months later. As more patients survive multiple cardiac palliations with some developing pulmonary vascular disease, heart–lung transplantation may become relevant again.