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Ann Thorac Surg 2000;70:2164-2165
© 2000 The Society of Thoracic Surgeons

How to do it

Lung transplantation: how to perform the venous anastomosis when clamping is too distal

John H. Robert, MDa, Nicolas Murith, MDb, Marc de Perrot, MDa, Marek Bednarkiewicz, MDb, Marc-Joseph Licker, MDc, Anastase Spiliopoulos, MDa

a Unit of Thoracic Surgery, Geneva University Hospital, Geneva, Switzerland
b Clinic of Cardiovascular Surgery, Geneva University Hospital, Geneva, Switzerland
c Department of Anesthesiology, Geneva University Hospital, Geneva, Switzerland

Accepted for publication April 4, 2000.

Address reprint requests to Dr Robert, Unit of Thoracic Surgery, Geneva University Hospital, CH-1211 Geneva 14, Switzerland
e-mail: john.h.robert{at}hcuge.ch

During lung transplantation, the venous anastomosis is performed between the atrial cuffs of the donor and the receiver. In certain rare circumstances, however, the surgeon may find two veins and no possibility to reposition the clamp more proximally. A simple technique can be used in this case: both veins are reunited and the venous anastomosis carried out as usual between two large lumens.






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