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

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)1-3
Number of pages3
JournalSurgery Today
DOIs
Publication statusAccepted/In press - Jun 21 2016

Fingerprint

Lung Transplantation
Pericardium
Pulmonary Artery
Lung
Blood Vessels
Transplantation
Health

Keywords

  • Lung procurement
  • Lung transplantation
  • Marginal donor

ASJC Scopus subject areas

  • Surgery

Cite this

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title = "Pulmonary artery patch for an inadequate donor atrial cuff in the absence of donor pericardium in lung transplantation",
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.",
keywords = "Lung procurement, Lung transplantation, Marginal donor",
author = "Seiichiro Sugimoto and Masaomi Yamane and Kentaroh Miyoshi and Takeshi Kurosaki and Shinji Otani and Shinichiro Miyoshi and Takahiro Oto",
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T1 - Pulmonary artery patch for an inadequate donor atrial cuff in the absence of donor pericardium in lung transplantation

AU - Sugimoto, Seiichiro

AU - Yamane, Masaomi

AU - Miyoshi, Kentaroh

AU - Kurosaki, Takeshi

AU - Otani, Shinji

AU - Miyoshi, Shinichiro

AU - Oto, Takahiro

PY - 2016/6/21

Y1 - 2016/6/21

N2 - 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.

AB - 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.

KW - Lung procurement

KW - Lung transplantation

KW - Marginal donor

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