Main pulmonary artery reconstruction during lung transplantation for idiopathic pulmonary artery hypertension with giant pulmonary artery aneurysm

For pulmonary artery aneurysm (PAA), a life-threatening complication of pulmonary arterial hypertension (PAH),1,2 heart-lung transplantation has been the preferred treatment. Recent advances have shown that bilateral lung transplantation (LTx) can achieve favorable outcomes.2 Various procedures for pulmonary artery (PA) reconstruction, including the use of aortic or full-length PA grafts harvested from donors whose hearts were not procured,1,2 have been described. A case of bilateral deceased-donor LTx in a patient with PAH and giant PAA is reported, where PA reconstruction was performed using lung grafts from a deceased donor whose heart was procured and plicating the recipient trunk to enable a direct trunk-to-trunk anastomosis.