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Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
Published on: October 11, 2024
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Left-to-right inverted single-lung transplantation: a case report
Runlei Hu1, Jun Chen1, Zhoubin Li1
1Department of Lung Transplantation and Thoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Journal of Cardiothoracic Surgery
|December 20, 2024
Summary
Inverted lung transplantation, a novel surgical approach, demonstrated feasibility in a patient with end-stage lung disease. This technique may expand the donor lung pool for more recipients.
Area of Science:
- Cardiothoracic Surgery
- Transplantation Medicine
Background:
- Lung transplantation is a critical treatment for end-stage lung disease.
- Donor lung scarcity limits transplantation accessibility.
- Inverted lung transplantation offers a potential solution to expand the donor pool.
Observation:
- A 65-year-old male with interstitial lung disease and pulmonary fibrosis underwent evaluation for lung transplantation.
- The patient had more severe disease in the right lung and received a left donor lung.
- A left-to-right inverted single-lung transplantation was performed.
Findings:
- The transplanted left lung gradually regained function postoperatively.
- The patient's case demonstrated the feasibility of left-to-right inverted single-lung transplantation.
- The patient unfortunately passed away two months post-transplant due to infection-related multiple organ failure.
Implications:
- Inverted lung transplantation is a viable surgical option when indicated and consented to.
- This technique can potentially increase the availability of suitable donor lungs.
- Expanding the donor pool through innovative methods like inverted transplantation is crucial for improving patient outcomes.

