title: Exposure of difficult left hilum in bilateral sequential lung transplantation.
abstract: Left hilar exposure can be challenging during bilateral sequential lung transplantation, particularly in patients with idiopathic pulmonary fibrosis due to the overlying heart and limited space. We describe a cost-effective technique that has been used in off-pump cardiopulmonary bypass to retract the heart away from the left hilum, without causing hemodynamic instability, thereby allowing implantation of the left lung without the use of cardiopulmonary bypass.
authors.affiliation: Division of Cardiothoracic Surgery, Indiana University, Indianapolis, Indiana.
authors.forename: Domenico
authors.initials: D
authors.lastname: Calcaterra
authors.affiliation: Department of Cardiothoracic Surgery, University of Iowa, Iowa City, Iowa.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Bashir
authors.affiliation: Department of Cardiothoracic Surgery, University of Iowa, Iowa City, Iowa.
authors.forename: John
authors.initials: J
authors.lastname: Keech
authors.affiliation: Department of Cardiothoracic Surgery, University of Iowa, Iowa City, Iowa.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Bates
authors.affiliation: Department of Cardiothoracic Surgery, University of Iowa, Iowa City, Iowa.
authors.forename: Joseph W
authors.initials: JW
authors.lastname: Turek
authors.affiliation: Department of Cardiothoracic Surgery, University of Iowa, Iowa City, Iowa. Electronic address: kalpaj-parekh@uiowa.edu.
authors.forename: Kalpaj R
authors.initials: KR
authors.lastname: Parekh
mesh_terms: D002315:Cardiopulmonary Bypass; D003362:Cost-Benefit Analysis; D006439:Hemodynamics; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*