• A&A practice · Apr 2018

    Direct Ultrasound of the Pulmonary Artery Helps Diagnose a Rare Cause of Right Ventricular Failure After Heart Transplantation: A Case Report.

    • John S McNeil, Si M Pham, and Julie L Huffmyer.
    • From the Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia; and Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
    • A A Pract. 2018 Apr 15; 10 (8): 189-191.

    AbstractPulmonary artery anastomosis stenosis is a rare cause of right ventricular failure after orthotopic heart transplantation. In this case report, direct ultrasound of the pulmonary artery helped diagnose stenosis at a location not visible on transesophageal echocardiography or even with standard epicardial ultrasound views. It is important to evaluate all vascular anastomoses after heart or lung transplantation because surgical revision of these lesions is facile, but if left undiagnosed, significant morbidity or mortality is likely.

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