title: Bilateral lung transplantation using a donor with a tracheal right upper lobe bronchus.
abstract: 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.
authors.affiliation: Division of Thoracic Surgery, Toronto General Hospital, University Health Network, University of Toronto, Ontario, Canada.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Sekine
authors.forename: Stefan
authors.initials: S
authors.lastname: Fischer
authors.forename: Marc
authors.initials: M
authors.lastname: de Perrot
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Pierre
authors.forename: Shaf
authors.initials: S
authors.lastname: Keshavjee
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D001980:Bronchi / Q000002:abnormalities*; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D014019:Tissue Donors; D014132:Trachea / Q000002:abnormalities*