Technique of Successful Clinical Double-Lung Transplantation

G. A. Patterson, J. D. Cooper, B. Goldman, R. D. Weisel, F. G. Pearson, P. F. Waters, T. R. Todd, H. Scully, M. Goldberg, R. J. Ginsberg

Research output: Contribution to journalArticlepeer-review

197 Scopus citations

Abstract

Lung transplantation has become a successful method in the therapy for end-stage pulmonary disease. While single-lung transplantation provides benefit to patients with pulmonary fibrosis, bilateral lung transplants are required for septic or emphysematous lung disease. We describe the technique employed in 6 patients to transplant en bloc both lungs with the recipient heart left in place. The lungs are connected by a left atrial cuff, main pulmonary artery, and trachea. The completed implantation has a tracheal anastomosis securely wrapped in omentum, a left atrial anastomosis posterior to the heart, and a pulmonary artery anastomosis anteriorly. Airway ischemia resulted in the death of 1 patient. This procedure allows complete excision of all diseased pulmonary tissue, retention of the recipient's own heart, and separate excision of the donor heart for use in another recipient, thereby markedly increasing the supply of donor lungs for transplantation.

Original languageEnglish
Pages (from-to)626-633
Number of pages8
JournalAnnals of Thoracic Surgery
Volume45
Issue number6
DOIs
StatePublished - Jan 1 1988

Fingerprint

Dive into the research topics of 'Technique of Successful Clinical Double-Lung Transplantation'. Together they form a unique fingerprint.

Cite this