In what type of IPAH patient is lung transplantation indicated?
a. All pulmonary artery hypertension patients with clinically significant disease
b. Patients not responding to vasodilators with significant cardiac dysfunction
c. Patients with class II, class III, or class IV disease
d. Patients with refractory hypoxemia
ANS: B
Single or double lung transplantation has been used successfully in the treatment of patients with IPAH. Lung transplantation is indicated in the care of patients who do not respond to vasodila-tors and have significant cardiac impairment.
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