Faculty Collaboration Database

Pulmonary artery thrombolysis and stenting after a bilateral sequential lung transplantation. J Heart Lung Transplant 1997 Jun;16(6):678-80

Date

06/01/1997

Pubmed ID

9229299

Scopus ID

2-s2.0-0030808187 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

Bilateral sequential lung transplantation was complicated by pulmonary artery anastomotic stenosis and bilateral pulmonary thromboemboli. Pulmonary artery thrombus was eliminated by intrathrombotic but not by systemic administration of urokinase. The pulmonary emboli resulted in localized pulmonary infarctions, supporting the need for thrombolytic intervention to restore pulmonary perfusion in the absence of collateral bronchial blood flow after lung transplantation. Pulmonary artery stenosis was relieved by endovascular stenting, avoiding an early reoperative procedure. This case suggests that direct administration of thrombolytic agent may be superior to intravenous administration in the treatment of pulmonary thromboemboli. Pulmonary arterial anastomotic stenoses after lung transplantation can be relieved by endovascular procedures.

Author List

Bousamra M 2nd, Mewissen MW, Batter J, Presberg KW, Schlueter DP, Haasler GB

Author

Kenneth W. Presberg MD Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Anastomosis, Surgical
Angiography
Arteriovenous Malformations
Constriction, Pathologic
Female
Humans
Lung Transplantation
Postoperative Complications
Pulmonary Artery
Pulmonary Embolism
Retreatment
Stents
Thrombolytic Therapy
Urokinase-Type Plasminogen Activator