Stent angioplasty for a kink in the pulmonary artery anastomosis soon after living-donor lobar lung transplantation

Fengshi Chen; Junichi Tazaki; Toshiya Shibata; Senri Miwa; Kazuhiro Yamazaki; Hisanari Ishii; Tsuyoshi Shoji; Takuji Fujinaga; Toru Bando; Hiroshi Date

doi:10.1016/j.athoracsur.2011.05.049

Stent angioplasty for a kink in the pulmonary artery anastomosis soon after living-donor lobar lung transplantation

Ann Thorac Surg. 2011 Nov;92(5):e105-6. doi: 10.1016/j.athoracsur.2011.05.049. Epub 2011 Oct 31.

Authors

Fengshi Chen¹, Junichi Tazaki, Toshiya Shibata, Senri Miwa, Kazuhiro Yamazaki, Hisanari Ishii, Tsuyoshi Shoji, Takuji Fujinaga, Toru Bando, Hiroshi Date

Affiliation

¹ Department of Thoracic Surgery, Kyoto University, Kyoto, Japan.

PMID: 22051314
DOI: 10.1016/j.athoracsur.2011.05.049

Abstract

Herein, we report a case of stent angioplasty for a kink in the pulmonary artery (PA) anastomosis soon after living-donor lobar lung transplantation (LDLLT). A 64-year-old man with idiopathic pulmonary fibrosis underwent bilateral LDLLT with lung donations from his daughters. After reperfusion, the left PA anastomosis showed a kink, which could not be corrected completely during surgery. Due to the kink in the left PA, and the relatively small donor grafts, the patient required extracorporeal membrane oxygenation) after LDLLT. Approximately 24 hours after reperfusion, stent angioplasty was performed, resulting in the patient being successfully weaned from extracorporeal membrane oxygenation on postoperative day 4.

Publication types

Case Reports

MeSH terms

Anastomosis, Surgical
Angioplasty*
Humans
Living Donors
Lung Transplantation* / methods
Male
Middle Aged
Postoperative Complications / surgery*
Pulmonary Artery / surgery*
Stents*