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活体供体肺叶再次移植中使用心包管道进行肺静脉成形术。

Pulmonary venoplasty with a pericardial conduit in living-donor lobar lung retransplantation.

作者信息

Kayawake Hidenao, Chen-Yoshikawa Toyofumi F, Motoyama Hideki, Date Hiroshi

机构信息

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

出版信息

Interact Cardiovasc Thorac Surg. 2017 Nov 1;25(5):830-831. doi: 10.1093/icvts/ivx122.

Abstract

In living-donor lobar lung transplantation, donor lobectomies must be performed carefully for both donors and recipients. Furthermore, the recipients undergo pneumonectomies rather than lobectomies. Occasionally, anastomosis of the pulmonary vessels is difficult in living-donor lobar lung transplantation because of the limited length of the pulmonary vessels in the graft. This report describes a successful case of pulmonary venoplasty using an autologous pericardial conduit, which was interposed between the superior pulmonary vein of the recipient and the inferior pulmonary vein of the donor in living-donor lobar lung retransplantation. This technique may be required for the success of living-donor lobar lung retransplantation.

摘要

在活体供体肺叶移植中,必须为供体和受体谨慎地进行供体肺叶切除术。此外,受体接受的是全肺切除术而非肺叶切除术。在活体供体肺叶移植中,由于移植物中肺血管长度有限,肺血管吻合偶尔会很困难。本报告描述了一例使用自体心包导管进行肺静脉成形术的成功案例,该导管在活体供体肺叶再次移植中置于受体的肺上静脉与供体的肺下静脉之间。该技术可能是活体供体肺叶再次移植成功所必需的。

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