Right ventricular reverse remodeling in a patient with pulmonary arterial hypertension post lung transplant

Pulmonary hypertension is a progressive disease with high morbidity and mortality, leading to right ventricular dilation, hypertrophy, and dysfunction, as well as tricuspid regurgitation and septal deviation, affecting left ventricular function.Bilateral lung transplantation is a viable therapeutic option, with a demonstrated capacity to restore pulmonary vascular resistance and reduce afterload.This process promotes structural and functional recovery of the right ventricle and pulmonary vasculature.However, few studies document these post-transplant cardiac changes in pulmonary hypertension patients.We present the case of a patient undergoing bilateral lung transplantation, detailing pre-and post-procedural echocardiographic findings to highlight the effectiveness of transplantation in cardiac function recovery.