Retransplantation after single lung transplantation.

Objective: Our lung transplant program started in June 1989 with primary grafts including 21 heart-lung, 11 single lung, and 5 bilateral sequential single lung transplantation. Three patients required retransplantation for single lung and 2 patients for heart-lung grafts. The primary cause of death after lung transplantation is chronic graft dysfunction--bronchiolitis obliteran--though other causes, namely acute graft failure, have been mentioned.

Isolated transpulmonary repair of tetralogy of Fallot.

Between October 1987 and November 1992, 165 consecutive patients underwent isolated transpulmonary repair for tetralogy of Fallot. Their ages ranged from 1 to 44 years and their weight ranged from 6 to 61 kg (mean 19.4).

Successful pregnancy after heart-lung transplantation: a case report.

A successful pregnancy outcome in a patient with previous heart-lung transplantation is reported. A 22-year-old primigravid woman received heart-lung transplantation for Eisenmenger's ASD and conceived 22 months postoperatively. She had been continuously treated with cyclosporine, azathioprine and prednisone during pregnancy.

Pulmonary approach for closure of ventricular septal defect and resection of infundibular obstruction in malaligned ventricular septum.

Presented is the technique of closure through the pulmonary artery of the perimembranous ventricular septal defects and defects with malaligned septum as an alternative method to the transatrial or transventricular approach. The technique of infundibular resection without opening the right ventricle in cases of tetralogy of Fallot is also described.