Overview Severe pulmonary hypertension (PH) linked to end-stage heart failure often complicates heart transplantation planning due to the risk of post-operative right ventricular failure. A recently documented case from Guangdong Provincial People’s Hospital (Guangzhou, China) demonstrates that prolonged intra-aortic balloon pump (IABP) support can reverse severe PH enough to enable successful heart transplantation. The patient,…