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

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• 作者：Seiichiro Sugimoto ; Masaomi Yamane ; Kentaroh Miyoshi ; Takeshi Kurosaki…
• 关键词：Lung procurement ; Lung transplantation ; Marginal donor
• 刊名：Surgery Today
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：47
• 期：3
• 页码：399-401
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Surgery; Surgical Oncology;
• 出版者：Springer Japan
• ISSN：1436-2813
• 卷排序：47

文摘

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.