Pulmonary artery patch for an inadequate donor atrial cuff in the absence of donor pericardium in lung transplantation

Seiichiro Sugimoto, Masaomi Yamane, Kentaroh Miyoshi, Takeshi Kurosaki, Shinji Otani, Shinichiro Miyoshi, Takahiro Oto

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)399-401
Number of pages3
JournalSurgery today
Volume47
Issue number3
DOIs
Publication statusPublished - Mar 1 2017

Keywords

  • Lung procurement
  • Lung transplantation
  • Marginal donor

ASJC Scopus subject areas

  • Surgery

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