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The Right Heart pp 291–303Cite as

Cardiac and Lung Transplantation

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Abstract

Pulmonary hypertension and right heart dysfunction commonly accompanies advanced left sided cardiac failure, and has important implications for prognosis and management. A consistent, stepwise approach to the interpretation and modulation of hemodynamics is necessary in order to optimize decision making and outcome in patients being considered for cardiac transplantation. For patients with pulmonary arterial hypertension who are being considered for lung or heart-lung transplantation, multiple critical factors relating to timing of transplantation, optimal perioperative management, and the particular lung allocation scheme in a given country, must be carefully considered in order to optimize outcome for these patients.

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Abbreviations

ARDS:

Acute respiratory distress syndrome

ASD:

Atrial septal defect

COPD:

Chronic obstructive pulmonary disease

CPB:

Cardiopulmonary bypass

DLCO:

Diffusion capacity for carbon monoxide

dPpa:

Diastolic pulmonary artery pressure

ECMO:

Extracorporeal membrane oxygenation

IPF:

Idiopathic pulmonary fibrosis

ISHLT:

International Society for Heart and Lung Transplantation

LAS:

Lung Allocation Score

LV:

Left ventricle

mPpa:

Mean pulmonary artery pressure

PAH:

Pulmonary arterial hypertension

PH:

Pulmonary hypertension

Ppw:

Pulmonary capillary wedge pressure

PVR:

Pulmonary vascular resistance

RV:

Right ventricle

RVAD:

Right ventricular assist device

SRTR:

Scientific Registry of Transplant Recipients

TPG:

Transpulmonary gradient

UNOS:

United National Organ System

VSD:

Ventricular septal defect

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Author information

Authors and Affiliations

  1. Department of Cardiovascular Diseases, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USA

    Robert P. Frantz MD

Authors
  1. Robert P. Frantz MD
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Corresponding author

Correspondence to Robert P. Frantz MD .

Editor information

Editors and Affiliations

  1. National Pulmonary Hypertension Unit, Mater Misericordiae University Hospital, Dublin, Ireland

    Sean P. Gaine

  2. Department of Cardiology, Erasme University Hospital, Brussels, Belgium

    Robert Naeije

  3. Scottish Pulmonary Vascular Unit, Regional Heart and Lung Centre, Glasgow, United Kingdom

    Andrew John Peacock

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© 2014 Springer-Verlag London

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Frantz, R.P. (2014). Cardiac and Lung Transplantation. In: Gaine, S., Naeije, R., Peacock, A. (eds) The Right Heart. Springer, London. https://doi.org/10.1007/978-1-4471-2398-9_18

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  • DOI: https://doi.org/10.1007/978-1-4471-2398-9_18

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2397-2

  • Online ISBN: 978-1-4471-2398-9

  • eBook Packages: MedicineMedicine (R0)

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