Anomalous pulmonary vein anatomy is infrequently encountered during reconstructive lung surgery, especially lung transplantation. Complications of pulmonary venous anastomosis carry high morbidity and mortality. We report a case of anomalous pulmonary vein reconstruction with a decellularized porcine small intestinal submucosa-derived extracellular matrix during bilateral lung transplantation in an 18-year-old woman with cystic fibrosis.
CooperJD. Current status of lung transplantation. Transplant Proc1991; 23: 2107–2114.
2.
ClarkSCLevineAJHasanAHiltonCJFortyJDarkJH. Vascular complications of lung transplantation. Ann Thorac Surg1996; 61: 1079–1082.
3.
SchmidtFMcGiffinDCZornGYoungKRWeillDKirklinJK. Management of congenital abnormalities of the donor lung. Ann Thorac Surg2001; 72: 935–937.
4.
KhasatiNHMacHaalAThekkudanJKumarSYonanN. An aberrant donor pulmonary vein during lung transplant: a surgical challenge. Ann Thorac Surg2005; 79: 330–331.
5.
MassadMGSiroisCTripathySJaffeHASnowNGehaAS. Pulmonary venous drainage into the left atrial appendage facilitates transplantation of the left lung with difficult exposure. Ann Thorac Surg2001; 71: 1046–1047.
6.
Scholl FG, Boucek MM, Chan KC, Valdes-Cruz L, Perryman R. Preliminary experience with cardiac reconstruction using decellularized porcine extracellular matrix scaffold: Human applications in congenital heart disease. World J Pediatr Cong Heart Surg 2010;1:132–6. Available at: http://pch.sagepub.com/content/1/1/132. Accessed June 23, 2012.
7.
DahanNZarbivGSarigUKarramTHoffmanAMachlufM. Porcine small diameter arterial extracellular matrix supports endothelium formation and media remodeling forming a promising vascular engineered biograft. Tissue Eng Part A2012; 18: 411–422.
