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Consideration of prophylactic mastectomy surgery following transplantation requires complex medical decision-making, and bias against elective surgery exists because of concern for post-operative complications. Prevention of cancer in transplant recipients is of utmost importance, given the risks of treating malignancy in an immunosuppressed patient. We present a patient case and review of the literature to support a thorough pre-transplantation evaluation of family history and consideration of prophylactic interventions to safeguard the quality of life of transplant recipients. J. Surg. Oncol. 2016;113:605-608. © 2016 Wiley Periodicals, Inc., (© 2016 Wiley Periodicals, Inc.)

B Description: b A 29-year-old female with systemic lupus erythematosus and Group 1 PAH presented as a transfer for lung transplant evaluation due to progressive right ventricular (RV) failure despite therapy with milrinone, remodulin IV, ambrisentan, and sildenafil. B Introduction: b Central cannulations of veno-arterial (VA) extracorporeal membranous oxygenation (ECMO) devices are conventionally associated with post-cardiotomy cardiogenic shock. There are several studies with pumpless lung assist devices or peripherally inserted VA-ECMO as a bridge to transplant in those with pulmonary arterial hypertension (PAH) and shock. [Extracted from the article]