Donor neo-atrial cuff construction after accidental lower lobe vein transection
Abstract Background An inadequate donor left atrial cuff is a rare technical issue after graft procurement for lung transplantation. With regard to the shortage of suitable donor organs for lung transplantation, these organs should be surgically reconstructed to avoid the loss of an organ and a futi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-02013-3 |
| _version_ | 1828106154342875136 |
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| author | Raphael S. Werner Claudio Caviezel Isabelle Opitz Ilhan Inci |
| author_facet | Raphael S. Werner Claudio Caviezel Isabelle Opitz Ilhan Inci |
| author_sort | Raphael S. Werner |
| collection | DOAJ |
| description | Abstract Background An inadequate donor left atrial cuff is a rare technical issue after graft procurement for lung transplantation. With regard to the shortage of suitable donor organs for lung transplantation, these organs should be surgically reconstructed to avoid the loss of an organ and a futile intervention in the critically ill recipient. Case presentation We report a case of a 62-year old patient who underwent bilateral sequential lung transplantation for chronic obstructive pulmonary disease. During isolated lung procurement, the right inferior pulmonary vein was circumferentially transsected and separated from the right superior pulmonary and middle lobe veins. Subsequently, a reconstruction of the left atrial cuff with an acellular biological patch was performed to complete the atrium anastomosis. The patient experienced an uneventful postoperative recovery and a follow-up ventilation/perfusion scan showed normal perfusion of the right lower lobe. Conclusions This case demonstrates that reconstruction of an inadequate left atrial cuff with a biological patch is feasible and allows for an adequate venous drainage and therefore normal transplant organ function. |
| first_indexed | 2024-04-11T10:12:35Z |
| format | Article |
| id | doaj.art-225394ed9a6146b7940b97b07782074e |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-11T10:12:35Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-225394ed9a6146b7940b97b07782074e2022-12-22T04:30:03ZengBMCJournal of Cardiothoracic Surgery1749-80902022-10-011711410.1186/s13019-022-02013-3Donor neo-atrial cuff construction after accidental lower lobe vein transectionRaphael S. Werner0Claudio Caviezel1Isabelle Opitz2Ilhan Inci3Department of Thoracic Surgery, University Hospital ZurichDepartment of Thoracic Surgery, University Hospital ZurichDepartment of Thoracic Surgery, University Hospital ZurichDepartment of Thoracic Surgery, University Hospital ZurichAbstract Background An inadequate donor left atrial cuff is a rare technical issue after graft procurement for lung transplantation. With regard to the shortage of suitable donor organs for lung transplantation, these organs should be surgically reconstructed to avoid the loss of an organ and a futile intervention in the critically ill recipient. Case presentation We report a case of a 62-year old patient who underwent bilateral sequential lung transplantation for chronic obstructive pulmonary disease. During isolated lung procurement, the right inferior pulmonary vein was circumferentially transsected and separated from the right superior pulmonary and middle lobe veins. Subsequently, a reconstruction of the left atrial cuff with an acellular biological patch was performed to complete the atrium anastomosis. The patient experienced an uneventful postoperative recovery and a follow-up ventilation/perfusion scan showed normal perfusion of the right lower lobe. Conclusions This case demonstrates that reconstruction of an inadequate left atrial cuff with a biological patch is feasible and allows for an adequate venous drainage and therefore normal transplant organ function.https://doi.org/10.1186/s13019-022-02013-3Lung transplantationDonor lungReconstructionLeft atrial cuffPulmonary vein |
| spellingShingle | Raphael S. Werner Claudio Caviezel Isabelle Opitz Ilhan Inci Donor neo-atrial cuff construction after accidental lower lobe vein transection Journal of Cardiothoracic Surgery Lung transplantation Donor lung Reconstruction Left atrial cuff Pulmonary vein |
| title | Donor neo-atrial cuff construction after accidental lower lobe vein transection |
| title_full | Donor neo-atrial cuff construction after accidental lower lobe vein transection |
| title_fullStr | Donor neo-atrial cuff construction after accidental lower lobe vein transection |
| title_full_unstemmed | Donor neo-atrial cuff construction after accidental lower lobe vein transection |
| title_short | Donor neo-atrial cuff construction after accidental lower lobe vein transection |
| title_sort | donor neo atrial cuff construction after accidental lower lobe vein transection |
| topic | Lung transplantation Donor lung Reconstruction Left atrial cuff Pulmonary vein |
| url | https://doi.org/10.1186/s13019-022-02013-3 |
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