Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan.
Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan.
Ann Thorac Surg. 2021 Aug;112(2):e95-e97. doi: 10.1016/j.athoracsur.2020.10.072. Epub 2021 Jan 10.
This report describes the case of a patient who underwent bilateral lung transplantation for idiopathic pulmonary arterial hypertension with coexisting partial anomalous pulmonary venous return and tracheal bronchus. The hypoplastic and low-positioned left atrial orifice caused by abnormal reflux of the right upper pulmonary vein and high-positioned right upper lobe bronchus made right anastomosis challenging. To prevent excessive tension on left atrial anastomosis, the donor's right main bronchus was anastomosed to the recipient's bronchus intermedius, a maneuver that resulted in successful anastomosis and an uneventful postoperative course.
本报告描述了一例因特发性肺动脉高压而行双侧肺移植的患者，该患者同时伴有部分性肺静脉异位回流和气管支气管。由于右上肺静脉异常反流和高位右上叶支气管，导致左心房孔发育不良和位置较低，使得右吻合变得具有挑战性。为了防止左心房吻合过度紧张，将供体的右主支气管与受体的中间支气管吻合，这一操作导致了成功的吻合和顺利的术后过程。
