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Left Pulmonary Artery Patch Augmentation for Lung Transplant in a Patient With Situs Inversus
Texas Heart Institute Journal ( IF 0.9 ) Pub Date : 2021-05-04 , DOI: 10.14503/thij-19-7112
Ahmed Alnajar 1, 2 , Peter C Chen 1, 2 , Bryan Burt 1, 2 , Gabriel Loor 1, 2
Affiliation  

Kartagener syndrome is characterized by situs inversus and defective cilia motion, the latter of which can lead to chronic infections and respiratory failure. If lung transplant is indicated, dextrocardia can pose surgical challenges. We report a rare case of sequential bilateral lung transplant in a 58-year-old man with Kartagener syndrome whose left pulmonary artery was abnormal in length, location, and direction. After placing the donor lungs in their orthotopic position, we augmented the recipient left pulmonary artery with a bovine pericardial patch. After 17 months of follow-up, the patient was in good condition with excellent graft function.



中文翻译:

左肺动脉补片增强术用于内翻位患者肺移植

Kartagener 综合征的特点是位置反转和纤毛运动缺陷,后者可导致慢性感染和呼吸衰竭。如果有肺移植指征,右位心可能会带来手术挑战。我们报告了一例罕见的连续双侧肺移植病例,患者为 Kartagener 综合征的 58 岁男性,其左肺动脉的长度、位置和方向异常。将供体肺置于原位位置后,我们用牛心包补片增强受体左肺动脉。经过17个月的随访,患者情况良好,移植物功能良好。

更新日期:2021-05-05
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