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Interposition grafting of the lower lobe pulmonary artery with a cuff of azygous vein, following its accidental ligation and division.

Authors
  • Hoschtitzky, J A
  • Naisbitt, J
  • Au, J
Type
Published Article
Journal
Interactive Cardiovascular and Thoracic Surgery
Publisher
Oxford University Press
Publication Date
Mar 01, 2004
Volume
3
Issue
1
Pages
204–205
Identifiers
PMID: 17670216
Source
Medline
License
Unknown

Abstract

A patient with a mass lesion suggestive of a bronchial carcinoma in the right upper lobe was taken to theatre for a right upper lobectomy. The lower lobe artery, which was smaller than usual, was inadvertently divided. The arterial blood supply to the lower lobe was repaired with azygous vein as an interposition graft between the stump of the right apical segment arteries and the lower lobe artery. There were no signs of reperfusion injury post-operatively. We report a method that can be safely and relatively easily performed in these rare circumstances.

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