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Luna R, Segura De La Cal T, Alonso R, Quezada A, Real I, Cortes M, Sarnago Cebada F, Velazquez M, Lopez Gude M, Escribano Subias P, Gamez P. Is bilateral lung transplantation in pulmonary artery hypertension related to congenital heart disease a real therapeutic option? Experience of a national referral centre. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Pulmonary arterial hypertension (PAH) affects almost 10% of patients with congenital heart disease, markedly worsening their prognosis. Bilateral lung or cardiopulmonary transplantation is therefore the last therapeutic option. The presence of underlying congenital heart disease (CHD) leads many of these patients directly to cardiopulmonary transplantation. However, this option is increasingly limited due to the shortage of organs and the high risk of the procedure.
Purpose
Demonstrate that isolated bilateral lung transplantation (BLT) associated with repair of simple heart defects is an option that leads to good prognostic outcomes and adequate positive cardiac chamber remodelling.
Methods
We retrospectively analysed the cases of PAH-CHD in our centre who underwent BLT from September 2010 to January 2022.
Results
During the recorded time 12 of the 135 PAH-CHD patients followed in our unit were considered for transplantation. Six BLT were finally performed. The reasons for rejecting the option of transplantation in patients with congenital heart disease included, in addition to the usual ones (age, histocompatibility, comorbidities, ...) the presence of abundant collateral circulation or repeated thoracic interventions. Of the 6 patients who underwent transplantation of both lungs, the mean age was 39±10 years and 4 were women (66.6%). All of them had previous symptoms of heart failure, 4 of them presented recurrent supraventricular arrhythmias requiring ablation, one of them required stent implantation in the left coronary trunk due to extrinsic compression by the pulmonary artery trunk and another had presented threatening haemoptysis requiring embolization of bronchial branches. Regarding the aetiology of PAH-CHD, two of the patients had residual PAH after previous closure of the intracardiac defect years earlier and the remaining four patients (66.6%) had an incidental intracardiac shunt (2 ASD and 2 VSD). Both incidental ASD were closed in the main intervention. The course of the operation and immediate post-transplantation was similar to other PAH transplants, with a mean ICU stay of 10 days. All patients were discharged home and remain alive to date without recurrence of cardiovascular symptoms. On post-transplant echocardiographic re-evaluation, all patients had normalized right chambers in terms of both size and function (Table 1).
Conclusion
Isolated bilateral lung transplantation is a real option for most cases of pulmonary arterial hypertension associated with congenital heart disease with simple or previously repaired defects. BLT in these patients is not accompanied by a higher rate of complications in the immediate postoperative period and in the long term means the resolution of cardiovascular symptoms with the adequate positive remodelling of the right chambers.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- R Luna
- University Hospital 12 de Octubre, Cardiology , Madrid , Spain
| | | | - R Alonso
- University Hospital 12 de Octubre, Neumology , Madrid , Spain
| | - A Quezada
- University Hospital 12 de Octubre, Neumology , Madrid , Spain
| | - I Real
- University Hospital 12 de Octubre, Anesthesiology , Madrid , Spain
| | - M Cortes
- University Hospital 12 de Octubre, Anesthesiology , Madrid , Spain
| | | | - M Velazquez
- University Hospital 12 de Octubre, Cardiology , Madrid , Spain
| | - M Lopez Gude
- University Hospital 12 de Octubre, Cardiac Surgery , Madrid , Spain
| | | | - P Gamez
- University Hospital 12 de Octubre, Thoracic surgery , Madrid , Spain
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Machado I, Fernández M, Becco L, Garat B, Brissos R, Zabarska N, Gamez P, Marques F, Correia I, Costa Pessoa J, Gambino D. New metal complexes of NNO tridentate ligands: Effect of metal center and co-ligand on biological activity. Inorganica Chim Acta 2014. [DOI: 10.1016/j.ica.2013.10.022] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Gamez P, Mariscal A, Martínez I, Díaz Hellín V, Marrón C, Meneses J, López E, Hermoso F, Ávila R, Martín de Nicolás J, González O, de Pablo A. 641 The Donor Bithermia Preservation: Clinical Experience in Lung Transplantation from Uncontrolled NHBD. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Rodriguez-Velamazan J, Sanchez Costa J, Tang J, Gamez P, Campo J, Luzon J. Internal magnetic structure of a Mn 3cluster determined by polarised neutron diffraction. Acta Crystallogr A 2008. [DOI: 10.1107/s010876730808166x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Ussetti P, Lopez Garcia-Gallo C, Gomez de Antonio D, Laporta R, Carreño C, Gamez P, Córdoba M, Ramos M, Ferreiro M, Varela A. 183: Comparative study of lung transplantion long term results with non heart beating donorse (NHBD): A sustanaible break through? J Heart Lung Transplant 2007. [DOI: 10.1016/j.healun.2006.11.200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Gómez de Antonio D, Laporta R, Mora G, Garcı́a-Gallo CL, Moradiellos J, Gamez P, Córdoba M, de Pablo A, Ussetti P, Carreño M, Varela A. 186. J Heart Lung Transplant 2006. [DOI: 10.1016/j.healun.2005.11.194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Varela A, Gamez P, Nuñez J, Rio F, Calatayud J. Preclinical experience in transplant with lung obtained from non heart beating donors. J Heart Lung Transplant 2003. [DOI: 10.1016/s1053-2498(02)00795-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Cañas J, Antoli A, Barquier P, Castillo A, Fajardo I, Gamez P, Salmeron L. Representación mental de los conceptos, objetos y personas implicados en una tarea realizada en una interfaz. Int Artif 2002. [DOI: 10.4114/ia.v6i16.748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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