BLTx Combined With Cardiac Correction in Treatment of PAH in Puerpera: Is It a Feasible Strategy?

Though pregnancy is not recommended under current guidelines in pulmonary arterial hypertension, some women insist on parturition. The related surgical treatments are controversial, especially to those complicated with Eisenmenger syndrome. In this report, 2 cases of severe pulmonary arterial hypertension complicated with Eisenmenger syndrome were reviewed. Owing to a lifesaving tenet, bilateral lung transplantation combined with surgical atrioventricular defect correction were performed after careful assessments. Both patients were followed up at 1 year and displayed no obvious complication. It showed that the strategy of bilateral lung transplantation combined with a cardiac correction may be feasible and worthy of further investigation. (C) 2021 by The Society of Thoracic Surgeons

Automated summary

Although pregnancy is not recommended in pulmonary arterial hypertension, some women still insist on childbirth. Surgical treatments, especially for those complicated with Eisenmenger syndrome, remain controversial. Two cases of severe pulmonary arterial hypertension complicated with Eisenmenger syndrome underwent successful bilateral lung transplantation combined with surgical atrioventricular defect correction, showing no obvious complications at the 1-year follow-up. This suggests that this combined strategy is feasible and warrants further investigation.