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1.感染・拒絶反応・循環の管理:Eisenmenger 症候群に対する肺移植における周術期・慢性期の循環管理
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JPY
Abstract
Eisenmenger syndrome(ES) could occur at the end-stage of congenital heart disease and is one of the indications for lung transplantation. Survival following heart-lung transplantation is better than that following bilateral lung transplantation (LT). However, in Japan, because of limitations in regard to the numbers of donors available, LT with cardiac repair is usually chosen. Following LT with cardiac repair, careful management of the repaired heart is necessary, though there are few reports available regarding such postoperative cardiac management. Here, we present findings from careful postoperative monitoring and management of cardiac function in a patient with ES with a ventricular septal defect, for whom LT with cardiac repair was performed. In addition, follow-up results of cardiac function are presented as well as discussion of important points related to such cases.
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