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Yamamoto, Haruchika Thoracic Surgery, Okayama University Hospital
Miyoshi, Kentaroh Organ Transplant Center, Okayama University Hospital Kaken ID
Otani, Shinji Thoracic Surgery, Okayama University Hospital
Kurosaki, Takeshi Organ Transplant Center, Okayama University Hospital Kaken ID researchmap
Sugimoto, Seiichiro Thoracic Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Yamane, Masaomi Thoracic Surgery, Okayama University Hospital Kaken ID researchmap
Toyooka, Shinichi Thoracic Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Kobayashi, Motomu Anesthesiology, Okayama University Hospital Kaken ID publons
Oto, Takahiro Organ Transplant Center, Okayama University Hospital Kaken ID publons
Abstract
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.
Keywords
Inverted lung transplantation
Pericardial conduit
Pulmonary venous anastomosis
Vessel formation
Published Date
2020-02-19
Publication Title
BMC Pulmonary Medicine
Volume
volume20
Issue
issue1
Publisher
BMC
Start Page
46
ISSN
1471-2466
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
Copyright Holders
© The Author(s). 2020
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isVersionOf https://doi.org/10.1186/s12890-020-1075-4
License
http://creativecommons.org/licenses/by/4.0/