Abstract
Lung transplant candidates with significant severe pulmonary artery dilation and concomitant pulmonary valve disease present a unique technical challenge. Right Ventricular Outflow Tract (RVOT) replacement at the time of double lung transplant is a feasible and safe option in this population. Reconstruction can be carried out using either the RVOT from the lung donor or a valve homograft conduit.
Highlights
A severely dilated pulmonary artery poses a technical challenge at the time of lung transplant
Normal caliber donor pulmonary arteries create significant size mismatch and can be associated with significant pulmonary regurgitation. (Figure 1) rare, right ventricular outflow tract (RVOT) reconstruction at the time of lung transplantation can be a solution in patients with preserved right heart function
We describe RVOT reconstruction at the time of lung transplant using a valved donor RVOT in two separate patients
Summary
A severely dilated pulmonary artery poses a technical challenge at the time of lung transplant. Reconstruction of Right Ventricular Outflow Tract During Lung Transplant Lung transplant candidates with significant severe pulmonary artery dilation and concomitant pulmonary valve disease present a unique technical challenge. Right Ventricular Outflow Tract (RVOT) replacement at the time of double lung transplant is a feasible and safe option in this population.
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