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.