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Right arrow Lung - transplantation

Ann Thorac Surg 2002;73:308-310
© 2002 The Society of Thoracic Surgeons

Case report

Bilateral lung transplantation using a donor with a tracheal right upper lobe bronchus

Yasuo Sekine, MD, PhDa, Stefan Fischer, MDa, Marc de Perrot, MDa, Andrew F. Pierre, MDa, Shaf Keshavjee, MD*a

a Toronto Lung Transplant Program, Division of Thoracic Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Accepted for publication April 26, 2001.

* Address reprint requests to Dr Keshavjee, Toronto Lung Transplant Program, Division of Thoracic Surgery, Toronto General Hospital, 200 Elizabeth St, EN 10-224, Toronto, Ontario M5G 2C4, Canada
e-mail: shaf.keshavjee{at}uhn.on.ca

We report on a case of successful bilateral sequential lung transplantation using a donor with the right upper lobe bronchus arising from the trachea. After en-bloc donor lung retrieval, the right bronchial stump was fashioned to create one lumen including the bronchus intermedius and the aberrant right upper lobe bronchus. A carinoplasty was performed in the recipient with resection of a portion of the lateral wall of trachea. The anastomosis was completed using a telescoping technique without any complication. This case demonstrates the possibility of successfully using donor lungs with such anatomic abnormality for transplantation.






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