In standard bilateral living-donor lobar lung transplantation (LDLLT), right and left
lower lobes donated by 2 healthy donors are implanted into a recipient after right
and left pneumonectomies. Because only 2 lobes are implanted, the grafts may be too
small for an adult recipient. To overcome size mismatch, we have developed a technique
of right-to-left inverted LDLLT based upon the fact that the right lower lobe is generally
larger than the left lower lobe. In right-to-left inverted LDLLT, 2 donors donate
their right lower lobes. The right graft is implanted in the right side of the recipient.
The left graft is inverted and implanted in the left side. This operation is indicated
when total graft forced vital capacity (FVC) is less than 60% of the recipient's predicted
FVC or when donor's left lower lobectomy is technically difficult due to interlobar
pulmonary artery anatomy.
Keywords
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Article info
Publication history
Published online: May 06, 2022
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In Press Journal Pre-ProofFootnotes
Financial Disclosure: The author has nothing to disclose regarding commercial support.
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