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.
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References
Casula RP, Stoica SC, Wallwork J, Dunning J. Pulmonary vein augmentation for single lung transplantation. Ann Thorac Surg. 2001;71:1373–4.
Parekh K, Patterson GA. Technical considerations in adult lung transplantation. Semin Thorac Cardiovasc Surg. 2004;16:322–32.
Oto T, Rabinov M, Negri J, Marasco S, Rowland M, Pick A, et al. Techniques of reconstruction for inadequate donor left atrial cuff in lung transplantation. Ann Thorac Surg. 2006;81:1199–204.
Yarbrough WM, Bates MJ, Deuse T, Tang DG, Robbins RC, Reitz BA, et al. Alternative technique for salvage of donor lungs with insufficient atrial cuffs. Ann Thorac Surg. 2009;88:1374–6.
Roussin R, Belli E, Lacour-Gayet F, Godart F, Rey C, Bruniaux J, et al. Aortic arch reconstruction with pulmonary autograft patch aortoplasty. J Thorac Cardiovasc Surg. 2002;123:443–50.
Malyshev M, Gladyshev I, Safuanov A, Siniukov D, Borovikov D, Rostovykh N. Surgical angioplasty of the left main coronary artery and/or proximal segment of the right coronary artery by pulmonary autograft patch. Eur J Cardiothorac Surg. 2004;25:21–5.
Soyama A, Eguchi S. The current status and future perspectives of organ donation in Japan: learning from the systems in other countries. Surg Today. 2016;46:387–92.
Sato M, Okada Y, Oto T, Minami M, Shiraishi T, Nagayasu T, et al. Registry of the Japanese Society of Lung and Heart–Lung Transplantation: official Japanese lung transplantation report, 2014. Gen Thorac Cardiovasc Surg. 2014;62:594–601.
Shigemura N, Bhama J, Nguyen D, Thacker J, Bermudez C, Toyoda Y. Pitfalls in donor lung procurements: how should the procedure be taught to transplant trainees? J Thorac Cardiovasc Surg. 2009;138:486–90.
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Seiichiro Sugimoto and his co-authors have no conflicts of interest.
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Sugimoto, S., Yamane, M., Miyoshi, K. et al. Pulmonary artery patch for an inadequate donor atrial cuff in the absence of donor pericardium in lung transplantation. Surg Today 47, 399–401 (2017). https://doi.org/10.1007/s00595-016-1370-0
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DOI: https://doi.org/10.1007/s00595-016-1370-0