Single lung transplantation for pulmonary hypertension: Single institution experience in 34 patients

Michael K. Pasque*, Elbert P. Trulock, Joel D. Cooper, Anastasios N. Triantafillou, Charles B. Huddleston, Michael Rosenbloom, Sudhir Sundaresan, James Lewis Cox, G. Alexander Patterson

*Corresponding author for this work

Research output: Contribution to journalArticle

128 Scopus citations

Abstract

Background The present study considered the uniformity and durability of the cardiopulmonary response to single lung transplantation in patients with severe pulmonary hypertension, as well as its effect on length and quality of survival. Methods and Results: Thirty-four patients with pulmonary hypertension underwent evaluation, single lung transplantation, and follow- up assessment between November 1, 1989, and June 1, 1994. Operative survival for the entire group of patients was reasonable with 91% (31 of 34 patients) surviving and being discharged from the hospital following transplantation. The actuarial survival for these 34 patients at 1-, 2-, and 3-year follow-up was 78%, 66%, and 61%, respectively. In the subgroup of 24 patients with primary pulmonary hypertension (PPH), 96% (23 of 24) were successfully discharged from the hospital after transplantation. The actuarial survival for this isolated PPH subgroup at 1-, 2-, and 3-year follow-up was 87%, 76%, and 68%, respectively. The uniform, early posttransplant normalization of pulmonary vascular resistance and right ventricular ejection fraction appears to persist throughout the 4-year follow-up period. Despite a high prevalence of bronchiolitis obliterans, the majority of survivors remain in New York Heart Association functional class I or II and are employed. Conclusions: Single lung transplantation can be performed in patients with end-stage pulmonary vascular disease with reasonable expectations for a relatively low operative mortality; immediate, complete, and durable amelioration of pulmonary hypertension and right ventricular failure; and optimal use of limited donor organ supply.

Original languageEnglish (US)
Pages (from-to)2252-2258
Number of pages7
JournalCirculation
Volume92
Issue number8
DOIs
StatePublished - Oct 15 1995

Keywords

  • hypertension, pulmonary
  • lung
  • transplantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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    Pasque, M. K., Trulock, E. P., Cooper, J. D., Triantafillou, A. N., Huddleston, C. B., Rosenbloom, M., Sundaresan, S., Cox, J. L., & Patterson, G. A. (1995). Single lung transplantation for pulmonary hypertension: Single institution experience in 34 patients. Circulation, 92(8), 2252-2258. https://doi.org/10.1161/01.CIR.92.8.2252