Bilateral lung transplantation using a donor with a tracheal right upper lobe bronchus.
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.
Sekine
Yasuo
Y
Division of Thoracic Surgery, Toronto General Hospital, University Health Network, University of Toronto, Ontario, Canada.
Fischer
Stefan
S
de Perrot
Marc
M
Pierre
Andrew F
AF
Keshavjee
Shaf
S
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*