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Aneurysm of the pulmonary artery (PA) poses a technical dilemma at the time of lung transplant. Isolated reconstruction of the PA and heart–lung transplantation have been used. However, such options are often not appropriate in the face of right ventricular outflow tract (RVOT) obstruction, recoverable recipient right ventricular function, or unsuitable heart donors. For the first time, we describe an en bloc RVOT–isolated lung transplant for a lung transplant recipient with congenital pulmonary valve disease and aneurysm of the PA. The rationale of this technique is to simplify repair of complex anatomy and to increase donor organ use.

A simplified technique for pulmonary artery aneurysm repair in a lung transplant recipient with right ventricular outflow tract obstruction