Journal
ANNALS OF THORACIC SURGERY
Volume 112, Issue 2, Pages E95-E97Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2020.10.072
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This report presents a case of a patient who underwent bilateral lung transplantation for idiopathic pulmonary arterial hypertension with certain anatomical challenges. A successful anastomosis was achieved by adopting a unique technique to prevent excessive tension, leading to an uneventful postoperative recovery.
This report describes the case of a patient who underwent bilateral lung transplantation for idiopathic pulmonary arterial hypertension with coexisting partial anomalous pulmonary venous return and tracheal bronchus. The hypoplastic and low-positioned left atrial orifice caused by abnormal reflux of the right upper pulmonary vein and high-positioned right upper lobe bronchus made right anastomosis challenging. To prevent excessive tension on left atrial anastomosis, the donor's right main bronchus was anastomosed to the recipient's bronchus intermedius, a maneuver that resulted in successful anastomosis and an uneventful postoperative course. (C) 2021 by The Society of Thoracic Surgeons
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