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- Title
Pulmonary artery patch for an inadequate donor atrial cuff in the absence of donor pericardium in lung transplantation.
- Authors
Sugimoto, Seiichiro; Yamane, Masaomi; Miyoshi, Kentaroh; Kurosaki, Takeshi; Otani, Shinji; Miyoshi, Shinichiro; Oto, Takahiro
- Abstract
In cadaveric lung transplantation (LTx), a donor lung with an inadequate donor left atrial cuff is considered a 'surgically marginal donor lung'. The donor pericardium is commonly applied to reconstruct the inadequate donor left atrial cuff; however, in some cases, the donor pericardium is inadvertently removed during the lung procurement. We devised an alternative technique for reconstruction to overcome the absence of pericardium in a donor lung with an inadequate atrial cuff, using a patch of the donor pulmonary artery (PA) in single lung transplantation. In a recent case of lung transplantation in which the donor pericardium had been removed, we harvested a segment of the right PA distal to the main PA of the donor and used a PA patch to repair the inadequate donor left atrial cuff. No vascular complications were encountered in the recipient, who remains in good health after the transplantation.
- Subjects
LUNG transplantation; ORGAN donors; PERICARDIUM; PULMONARY artery; CUFF bracelets
- Publication
Surgery Today, 2017, Vol 47, Issue 3, p399
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-016-1370-0