Papers

Peer-reviewed International journal
Feb 19, 2020

Right single lung transplantation using an inverted left donor lung: interposition of pericardial conduit for pulmonary venous anastomosis - a case report.

BMC pulmonary medicine
  • Haruchika Yamamoto
  • ,
  • Kentaroh Miyoshi
  • ,
  • Shinji Otani
  • ,
  • Takeshi Kurosaki
  • ,
  • Seiichiro Sugimoto
  • ,
  • Masaomi Yamane
  • ,
  • Shinichi Toyooka
  • ,
  • Motomu Kobayashi
  • ,
  • Takahiro Oto

Volume
20
Number
1
First page
46
Last page
46
Language
English
Publishing type
DOI
10.1186/s12890-020-1075-4

BACKGROUND: Lung transplantation (LTx) is still limited by the shortage of suitable donor lungs. Developing flexible surgical procedures can help to increase the chances of LTx by unfolding recipient-to-donor matching options based on the pre-existing organ allocation concept. We report a case in which a successful left-to-right inverted LTx was completed using the interposition of a pericardial conduit for pulmonary venous anastomosis. CASE PRESENTATION: A left lung graft was offered to a 59-year-old male who had idiopathic pulmonary fibrosis with predominant damage in the right lung. He had been prescribed bed rest with constant oxygen inhalation through an oxymizer pendant and had been on the waiting list for 20 months. Considering the condition of the patient (LAS 34.3) and the scarcity of domestic organ offers, the patient was highly likely to be incapable of tolerating any additional waiting time for another donor organ if he was unable to accept the presently reported offer of a left lung. Eventually, we decided to transplant the left donor lung into the right thorax of the recipient. Because of the anterior-posterior position gap of the hilar structures, the cuff lengths of the pulmonary veins had to be adjusted. The patient did not develop any anastomotic complications after the transplantation. CONCLUSIONS: A left-to-right inverted LTx is technically feasible using an autologous pericardial conduit for pulmonary venous anastomosis in selected cases. This technique provides the potential benefit of resolving challenging situations in which surgeons must deal with a patient's urgency and the logistical limitations of organ allocation.

Link information
DOI
https://doi.org/10.1186/s12890-020-1075-4
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32075616
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031900
ID information
  • DOI : 10.1186/s12890-020-1075-4
  • Pubmed ID : 32075616
  • Pubmed Central ID : PMC7031900

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