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Tex Heart Inst J. 2012;39(4):560-4.

Percutaneous stenting to treat pulmonary vein stenosis after single-lung transplantation.

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Department of Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.


Pulmonary vein stenosis after lung transplantation is rare. Untreated, it can cause transplant failure and death. We describe the case of a 56-year-old man in whom pulmonary vein stenosis developed after single-lung transplantation. He was successfully treated with angioplasty and stent implantation guided by intravascular ultrasonography. To our knowledge, this is the first report of using this method to evaluate the pulmonary vein after lung transplantation, to confirm the diagnosis of pulmonary vein stenosis, and to guide the sizing and positioning of a stent. In lung-transplant recipients, percutaneous stent implantation may preclude reoperation and salvage the transplanted lung when used as treatment for pulmonary vein stenosis.


Angioplasty, balloon/instrumentation; constriction, pathologic/diagnosis; lung transplantation/adverse effects; postoperative complications/etiology; pulmonary veins/pathology/radiography; pulmonary veno-occlusive disease/diagnosis/surgery; treatment outcome; ultra-sonography, interventional

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