Anastomotic pulmonary hypertension after lung transplantation for primary pulmonary hypertension - Report of surgical correction

This report describes a patient who developed pulmonary hypertension 6 year s after lung transplantion for primary pulmonary hypertension (PPH), Evalua tion with right heart catheterization followed by pulmonary angiography, ho wever, demonstrated that the pulmonary hypertension was secondary to an ana stomotic narrowing of the pulmonary artery rather than a recurrence of her PPH. Vascular complications of lung transplantation should be considered in patients who experience exertional dyspnea after lung transplantation. The suggestion of pulmonary hypertension on echocardiography should prompt fur ther evaluation, including meticulous hemodynamic measurements.