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Ann Thorac Surg 2009;88:1374-1376. doi:10.1016/j.athoracsur.2008.11.031
© 2009 The Society of Thoracic Surgeons
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William M. Yarbrough
Michael J. Bates
Tobias Deuse
Daniel G. Tang
Robert C. Robbins
Bruce A. Reitz
Hari R. Mallidi
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Right arrow Lung - transplantation

How To Do It

Alternative Technique for Salvage of Donor Lungs With Insufficient Atrial Cuffs

William M. Yarbrough, MD, Michael J. Bates, MD, Tobias Deuse, MD, Daniel G. Tang, MD, Robert C. Robbins, MD, Bruce A. Reitz, MD, Hari R. Mallidi, MD*

Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Cardiovascular Research Center, Stanford, California

Accepted for publication November 12, 2008.

* Address correspondence to Dr Mallidi, Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Cardiovascular Research Center, 300 Pasteur Dr, Stanford, CA 94305-5407 (Email: mallidi{at}stanford.edu).

Inadequate left atrial cuff surrounding donor pulmonary veins may present a technical challenge for successful lung transplantation. A simple technique for construction of venous anastomoses during lung transplantation when donor atrial cuff is lacking involves circumferential incorporation of surrounding donor pericardium into the anastomosis without directly suturing or augmenting donor venous structures.






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