The first successful heart–lung transplantation in Japan: report of a case.

Although legislation regarding organ transplantation from brain-dead donors in Japan was approved in 1997, no heart–lung transplantation procedures were performed for some time. Herein, we report the first case of successful heart–lung transplantation in Japan. The recipient was a 35-year-old man with Eisenmenger syndrome, caused by a double outlet right ventricle, who had been suffering hemoptysis and continued NYHA class 3–4 symptoms for 66 months since being registered on the waiting list. He underwent heart–lung transplantation from a 30-year-old donor. The organ ischemic time was 247 min, the postoperative course was uneventful, and the patient was discharged 66 days after the transplant surgery. [ABSTRACT FROM AUTHOR]