Reconstruction of pulmonary artery with donor aorta and autopericardium in lung transplantation

Ann Thorac Surg. 2013 Jul;96(1):e17-9. doi: 10.1016/j.athoracsur.2013.01.029.

Abstract

A 44-year-old man with Eisenmenger's syndrome due to ventricular septal defect (VSD) was listed for lung transplantation. The patient's condition was complicated by a giant pulmonary artery (PA) aneurysm. Concurrent VSD closure and total reconstruction of the recipient PA with the donor aorta were planned. When the patient underwent bilateral lung transplantation, the aortic graft obtained turned out to be too short to complete the reconstruction. A PA graft made of the recipient's pericardium was successfully interposed between the donor's PA and the donor's aortic graft.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm / diagnosis
  • Aneurysm / etiology
  • Aneurysm / surgery*
  • Angiography
  • Aorta, Thoracic / transplantation*
  • Cardiac Catheterization
  • Follow-Up Studies
  • Humans
  • Lung Transplantation / adverse effects*
  • Male
  • Pericardium / transplantation*
  • Plastic Surgery Procedures / methods*
  • Postoperative Complications
  • Pulmonary Artery / surgery*
  • Tissue Donors
  • Tomography, X-Ray Computed
  • Transplantation, Autologous
  • Vascular Surgical Procedures / methods*