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Exposure of Difficult Left Hilum in Bilateral Sequential Lung Transplantation
Journal article   Peer reviewed

Exposure of Difficult Left Hilum in Bilateral Sequential Lung Transplantation

Domenico Calcaterra, Mohammad Bashir, John Keech, Michael J Bates, Joseph W Turek and Kalpaj R Parekh
The Annals of thoracic surgery, Vol.98(4), pp.1493-1495
10/2014
DOI: 10.1016/j.athoracsur.2013.12.092
PMID: 25282230

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Abstract

Left hilar exposure can be challenging during bilateral sequential lung transplantation, particularly in patients with idiopathic pulmonary fibrosis due to the overlying heart and limited space. We describe a cost-effective technique that has been used in off-pump cardiopulmonary bypass to retract the heart away from the left hilum, without causing hemodynamic instability, thereby allowing implantation of the left lung without the use of cardiopulmonary bypass.
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