2.2 Case 2
A 42-year-old man with end stage pulmonary hypertension and giant PAA (9
x 10 x 10cm) underwent heart and lung transplantation (figure 5). He had
a background history of D-transposition of the great arteries post
Mustard repair performed at age 9 months, with a baffle leak and left to
right shunt. Heart-lung transplantation was performed through a
clamshell incision as described previously [6-8]. The donor hila
were positioned anterior to the phrenic nerves. [7, 8] Due to
significant coagulopathy, the chest was packed and then closed the next
day. There were no major post-operative complications and he was
discharged home day 37. The patient is doing well twenty months after
transplantation.