Options For Treating Eisenmenger Syndrome

Heart-Lung Transplant

Sometimes a heart-lung transplant to replace the damaged heart and lungs is the only treatment of choice for an Eisenmenger syndrome patient. The success of the transplant depends on the particular physiology of the patient. Patients with complex cardiac anatomy do not do as well as patients with simple anatomy. Complex cardiac anatomy means the patient’s heart is different in some way from a normal heart above and beyond their Eisenmenger syndrome. For example, the patient may have a situs inversus situation where the heart is, basically, a mirror image of a normal heart. It may be on the right side of the body with the blood vessels, atria and ventricles also the opposite of what is normal. Individuals with complex cardiac anatomy also tended to need the transplant at younger ages. However, many patients do surprisingly well after a heart-lung transplant.

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