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ID 58227
フルテキストURL
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著者
Yamamoto, Haruchika Thoracic Surgery, Okayama University Hospital
Miyoshi, Kentaroh Organ Transplant Center, Okayama University Hospital Kaken ID
Otani, Shinji Thoracic Surgery, Okayama University Hospital
Kurosaki, Takeshi Organ Transplant Center, Okayama University Hospital Kaken ID researchmap
Sugimoto, Seiichiro Thoracic Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Yamane, Masaomi Thoracic Surgery, Okayama University Hospital Kaken ID researchmap
Toyooka, Shinichi Thoracic Surgery, Okayama University Hospital ORCID Kaken ID publons researchmap
Kobayashi, Motomu Anesthesiology, Okayama University Hospital Kaken ID publons
Oto, Takahiro Organ Transplant Center, Okayama University Hospital Kaken ID publons
抄録
BACKGROUND:
Lung transplantation (LTx) is still limited by the shortage of suitable donor lungs. Developing flexible surgical procedures can help to increase the chances of LTx by unfolding recipient-to-donor matching options based on the pre-existing organ allocation concept. We report a case in which a successful left-to-right inverted LTx was completed using the interposition of a pericardial conduit for pulmonary venous anastomosis.
CASE PRESENTATION:
A left lung graft was offered to a 59-year-old male who had idiopathic pulmonary fibrosis with predominant damage in the right lung. He had been prescribed bed rest with constant oxygen inhalation through an oxymizer pendant and had been on the waiting list for 20 months. Considering the condition of the patient (LAS 34.3) and the scarcity of domestic organ offers, the patient was highly likely to be incapable of tolerating any additional waiting time for another donor organ if he was unable to accept the presently reported offer of a left lung. Eventually, we decided to transplant the left donor lung into the right thorax of the recipient. Because of the anterior-posterior position gap of the hilar structures, the cuff lengths of the pulmonary veins had to be adjusted. The patient did not develop any anastomotic complications after the transplantation.
CONCLUSIONS:
A left-to-right inverted LTx is technically feasible using an autologous pericardial conduit for pulmonary venous anastomosis in selected cases. This technique provides the potential benefit of resolving challenging situations in which surgeons must deal with a patient's urgency and the logistical limitations of organ allocation.
キーワード
Inverted lung transplantation
Pericardial conduit
Pulmonary venous anastomosis
Vessel formation
発行日
2020-02-19
出版物タイトル
BMC Pulmonary Medicine
20巻
1号
出版者
BMC
開始ページ
46
ISSN
1471-2466
資料タイプ
学術雑誌論文
言語
English
OAI-PMH Set
岡山大学
著作権者
© The Author(s). 2020
論文のバージョン
publisher
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.1186/s12890-020-1075-4
ライセンス
http://creativecommons.org/licenses/by/4.0/