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Case reports

Balloon angioplasty for pulmonary artery stenosis after lung transplantation

Department of Thoracic Surgery, Kyoto University, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan

Received 24 February 2008; received in revised form 27 May 2008; accepted 2 June 2008.

^_* Corresponding author. Tel.: +81 75 751 4975; fax: +81 75 751 4974. (Email: bando{at}kuhp.kyoto-u.ac.jp).

We report here a successful case of balloon angioplasty for a stenosis of the pulmonary artery after lung transplantation. A 49-year-old patient with end stage diffuse bronchiectasis with sinusitis underwent bilateral living donor lobar lung transplantation. After treatment of postoperative right pneumothorax, a perfusion lung scan revealed deficient perfusion in the left lung. Pulmonary angiography showed a severe stenosis in the left pulmonary artery just distal to the anastomosis. Percutaneous balloon angioplasty improved both pulmonary perfusion and respiratory function.

Key Words: Transplantation • Lung • Anastomosis • Surgery • Complications