Advanced pulmonary arterial hypertension: Mechanical support and lung transplantation

Sonja Bartolome, Marius M. Hoeper, Walter Klepetko

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


The development of targeted therapies has transformed the outlook for patients with pulmonary arterial hypertension (PAH); however, some patients fail to achieve an adequate clinical response despite receiving maximal treatment. For these patients, lung transplantation remains an important therapeutic option, and recommendations for transplantation are included in the current European Society of Cardiology/European Respiratory Society guidelines for the diagnosis and treatment of pulmonary hypertension. Although lung transplantation is not without risk, overall long-term survival rates are good and substantial improvements in quality of life have been reported for lung transplant recipients. In this review, we describe the important considerations prior to, during and after transplantation, including the role of mechanical support, in patients with advanced PAH.

Original languageEnglish (US)
Article number170089
JournalEuropean Respiratory Review
Issue number146
StatePublished - Dec 31 2017

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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