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Right arrow Lung - transplantation

Ann Thorac Surg 2002;73:1663-1664
© 2002 The Society of Thoracic Surgeons

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Everting mattress running suture: an improved technique of atrial anastomosis in human lung transplantation

Marc de Perrot, MD, MSa, Shaf Keshavjee, MD, MS*a

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

Accepted for publication November 15, 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

Significant complications related to the venous anastomosis have been reported in clinical lung transplantation, and it has been suggested that the incidence of pulmonary vein complications may have been previously underestimated. In our institution, we have adopted the horizontal everting mattress running suture as standard practice for the venous anastomosis in human lung transplantation. This technique is easier to perform than the regular over-and-over sutures, and allows suturing of the donor and recipient atrial cuffs in a straight line, opposing endothelium to endothelium, thus limiting the presence of redundant and potentially thrombogenic tissue in the lumen. This technique should help reduce the risk of venous anastomotic complications.




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 J. Thorac. Cardiovasc. Surg.Home page
M. de Perrot, C. Chaparro, K. McRae, T. K. Waddell, D. Hadjiliadis, L. G. Singer, A. F. Pierre, M. Hutcheon, and S. Keshavjee
Twenty-year experience of lung transplantation at a single center: Influence of recipient diagnosis on long-term survival
J. Thorac. Cardiovasc. Surg., May 1, 2004; 127(5): 1493 - 1501.
[Abstract] [Full Text] [PDF]


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