Usage of Pericardial Patch for LA Back Table Reconstruction

The pericardial patch is a valuable and versatile material for pulmonary vein reconstruction during donor lung procurement and transplantation, particularly when the atrial cuff is short, damaged, or anatomically inadequate. Autologous or donor pericardium provides excellent biocompatibility, pliability, and strength, allowing precise tailoring to recreate a wide, tension-free pulmonary venous outflow. Its use facilitates augmentation or extension of the left atrial cuff, reduces the risk of anastomotic stenosis or torsion, and helps achieve optimal alignment during implantation. The smooth endothelial surface of the pericardium supports laminar flow and minimizes thrombogenicity, while its availability in the donor field makes it an efficient and reliable option in complex or marginal donor scenarios. Overall, pericardial patch reconstruction enhances technical safety and expands donor lung utilization without compromising postoperative pulmonary venous drainage.