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Reversal of Nocturnal Periodic Breathing in Primary Pulmonary Hypertension After Lung Transplantation*

Richard Schulz; Christine Fegbeutel; Horst Olschewski; Frank Rose; Hans-Joachim Schäfers; Werner Seeger
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*From the Division of Pulmonary and Critical Care Medicine (Drs. Schulz, Olschewski, Rose, Seeger, and Fegbeutel), Department of Internal Medicine, Justus-Liebig University, Giessen; and the Division of Cardiothoracic Surgery (Dr. Schäfers), Universität des Saarlandes, Homburg/Saar, Germany.

Correspondence to: Richard Schulz, MD, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Justus-Liebig University, Klinikstrasse 36, 35392 Giessen, Germany; e-mail: Richard.Schulz@innere.med.uni-giessen.de



Chest. 2004;125(1):344-347. doi:10.1378/chest.125.1.344
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Nocturnal periodic breathing (PB) closely resembling Cheyne-Stokes respiration in congestive heart failure has been reported to occur in end-stage primary pulmonary hypertension (PPH). We herein describe the clinical course of a 56-year-old female patient with PPH and severe hypoxemia, hypocapnia, and right ventricular compromise in whom sleep-disordered breathing (SDB) resolved after successful double-lung transplantation. This case illustrates the crucial roles of blood gas alterations and hemodynamic impairment in the emergence of PB in PPH, and is in favor of a genuine association between advanced right heart failure and the development of SDB.

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