Right ventricular reverse remodeling in a patient with pulmonary arterial hypertension post lung transplant




Fabio Varón-Vega, Departamento de Cuidados Intensivos y Trasplante Pulmonar, Fundación Neumológica Colombiana, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia
Eduardo Tuta-Quintero, Departamento de Cuidados Intensivos y Trasplante Pulmonar, Fundación Neumológica Colombiana, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá; Escuela de Medicina, Universidad de La Sabana, Chía; Colombia
Oscar Barón, Departamento de Cuidados Intensivos y Trasplante Pulmonar, Fundación Neumológica Colombiana, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia
Diego Pérez, Departamento de Cuidados Intensivos y Trasplante Pulmonar, Fundación Neumológica Colombiana, Fundación Cardioinfantil-Instituto de Cardiología, Bogotá, Colombia
Ingrid Casallas, Escuela de Medicina, Universidad del Rosario, Chía, Colombia


Pulmonary hypertension is a progressive disease with high morbidity and mortality, leading to right ventricular dilation, hypertrophy, and dysfunction, as well as tricuspid insufficiency and septal deviation, affecting left ventricular function. Bilateral lung transplantation is a viable therapeutic option, demonstrating the capacity to restore pulmonary vascular resistance and reduce afterload. This process promotes structural and functional recovery of the right ventricle and pulmonary vasculature. However, few studies document these post-transplant cardiac changes in pulmonary hypertension patients. We present a case of a patient undergoing Bilateral lung transplantation, detailing pre- and post-procedural echocardiographic findings to highlight the effectiveness of transplantation in cardiac function recovery.



Keywords: Pulmonary arterial hypertension. Organ transplantation. Reverse cardiac remodeling.