Bilateral Lobar Transplants Using One Donor for Two Small-Sized Recipients.

Area of Science:

• Thoracic Surgery
• Transplantation Medicine
• Cardiothoracic Surgery

Background:

• Cadaveric lobar lung transplantation is a viable option for patients with small thoracic dimensions.
• This technique allows for lung transplantation in recipients who may not be suitable for whole lung grafts.

Observation:

• A single donor provided bilateral lobar lung grafts for two distinct high-risk recipients.
• The procedure required meticulous coordination between the back table graft preparation and the two surgical teams.

Findings:

• Successful bilateral lobar lung transplantation from one donor to two recipients was achieved.
• Careful planning of vascular and bronchial cuffs was essential for each implantation.
• Minimizing ischemic time for the grafts was a critical factor.

Implications:

• This approach expands the donor pool and offers a solution for specific recipient anatomies.
• It highlights the importance of inter-team communication and logistical precision in complex transplantations.
• Further research can explore the long-term outcomes and standardization of this single-donor bilateral lobar lung transplantation technique.