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Aortic valve replacement 10 years after lung transplantation
Prashant N Mohite1, Nikhil P Patil1, Bartlomeij Zych1
1Department of Cardiothoracic Transplantation and Mechanical Support, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom.
The Annals of Thoracic Surgery
|February 4, 2014
Summary
Long-term lung transplant survivors face age-related heart issues. Successful aortic valve replacement (AVR) was performed in a patient with severe aortic stenosis, despite immunosuppression risks.
Area of Science:
- Cardiology
- Thoracic Surgery
- Transplantation Medicine
Background:
- Long-term survivors of solid organ transplantation are susceptible to age-related cardiac pathologies.
- Native cardiac conditions pose a significant challenge in the management of transplant recipients.
Observation:
- A sexagenarian lung transplant recipient presented with severe aortic valve stenosis 10 years post-transplantation.
- The patient had concerns regarding infection due to long-term immunosuppression and potential deterioration of lung function.
Findings:
- An open-heart surgical procedure was successfully performed for aortic valve replacement (AVR).
- Careful perioperative management mitigated risks associated with immunosuppression and lung function.
Implications:
- This case demonstrates the feasibility and success of AVR in select lung transplant recipients.
- It highlights the importance of multidisciplinary management for complex cardiac conditions in immunocompromised patients.
