Fig. 3

a Schema of the inverted left lung. b Schema and photograph of the anastomosis. Because of the anterior-posterior position gap between the donor and recipient pulmonary veins, a venous cuff extension using autologous pericardial conduits was necessary. However, no conduit was required for the pulmonary artery anastomosis, as both the recipient and donor cuffs were sufficiently long. Bronchial anastomosis was performed with membranous-to-cartilaginous apposition