Right Lower Lobe Autotransplantation for Locally Advanced Central Lung Cancer  Yui Watanabe, MD, PhD, Masami Sato, MD, PhD, Yoshihiro Nakamura, MD, PhD,

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Right Lower Lobe Autotransplantation for Locally Advanced Central Lung Cancer  Yui Watanabe, MD, PhD, Masami Sato, MD, PhD, Yoshihiro Nakamura, MD, PhD, Yasushi Hoshikawa, MD, PhD, Aya Harada, MD, Toshiyuki Nagata, MD, Goichi Yotsumoto, MD, PhD, Yutaka Imoto, MD, PhD, Yoshinori Okada, MD, PhD, Takashi Kondo, MD, PhD  The Annals of Thoracic Surgery  Volume 99, Issue 1, Pages 323-326 (January 2015) DOI: 10.1016/j.athoracsur.2014.02.065 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative chest computed tomography shows a tumor that involves the superior vena cava, the right main pulmonary artery, and the main and upper bronchus. The Annals of Thoracic Surgery 2015 99, 323-326DOI: (10.1016/j.athoracsur.2014.02.065) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A, B) Pneumonectomy with combined resection of the superior vena cava (SVC) was done after an innominate vein–right atrial bypass was performed. (C) The ex situ resection of the right lower lobe (RLL) and trimming of the graft for autotransplantation were performed after lung preservation. (D) First, the lower bronchus of the graft was anastomosed to the main bronchus, and then the lower pulmonary vein of the graft was anastomosed to the remaining upper pulmonary venous stump. Finally, the pulmonary artery (PA) was anastomosed by the intermediary of autologous pericardial tube. (IPV = inferior pulmonary vein; LLL = left lower lobe; LUL = left upper lobe; RUL = right upper lobe; SPV = superior pulmonary vein.) The Annals of Thoracic Surgery 2015 99, 323-326DOI: (10.1016/j.athoracsur.2014.02.065) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative chest roentgenogram shows a well-expanded autograft. The Annals of Thoracic Surgery 2015 99, 323-326DOI: (10.1016/j.athoracsur.2014.02.065) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions