Figure 1.

Preparation of left lung graft for retransplantation. (A,B), The heart-lung block is excised from the initial host and the hilar structures of the left lung graft are exposed; (C,D), The left hilar structures are dissected and the cuffs exposed; (E,F), The ligature that had been placed on the pulmonary vein (denoted as PV) during the initial transplant is removed; (“PA” denotes the pulmonary artery; “Br” denotes the bronchus.); (G,H), The pulmonary vein is divided proximal to the previously placed cuff; (I,J), The pulmonary vein is dissected leaving the original cuff in place; (K,L), The lung graft is flushed with 1 mL of ice-cold LPDG solution through the pulmonary artery; (M,N), Cuffs on pulmonary artery and vein are released with the graft bronchus remaining attached to the initial recipient; (O,P), The suture ligature that had been placed on the bronchus during the initial transplant is released before reimplantation.