Emergency donor pericardial conduit for ruptured pulmonary artery in lung transplantation for severe PH: a case report
Jun Chen, Dong Liu, Ji Zhang, Weili Han · 2026
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Description
Jun Chen and colleagues report an urgent heart-sac tube rescue for a burst lung artery during transplant in a 2026 case study. A 58-year-old woman with end-stage lung scarring and severe lung high pressure, with top pressure of 105 mmHg, underwent two-sided lung transplant. On blood return to the left lung, the left main lung artery tore and ruptured, bleeding heavily and resisting re-clamping because the vessel was extremely friable.
After switching to full heart-lung bypass, surgeons cut out the damaged segment and fashioned a 24-mm tube from donor heart sac, restoring flow path end to end. The patient survived surgery, though stubborn Burkholderia bug required prolonged treatment and windpipe tube, and she left hospital on day 86. Follow-up imaging at two months showed a widely patent conduit with mild, flow-neutral tight spot. Transplant teams gain a handy salvage option for deadly artery rupture.
Catalog record
| CREATOR | Jun Chen, Dong Liu, Ji Zhang, Weili Han |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 12 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |