<p>Living-donor lobar lung transplantation (LDLLT) poses greater technical challenges than conventional lung transplantation using deceased-donor grafts. The lower lobes are the most commonly used grafts in LDLLT. However, when using a left lobar graft with lingular branch preservation, the pulmonary artery may need to be diagonally incised. This often necessitates pulmonary arterioplasty with an autologous pericardial patch on the donor side to maintain the integrity of the lingular branch and correct caliber mismatch on the recipient side. In hybrid lung transplantation combining a right lung from a deceased donor with a left lower lobe from a living donor, the donor’s right pulmonary artery can be repurposed to resolve a short cuff and large caliber mismatch of the left pulmonary artery. We demonstrated a simple back-table arterioplasty technique using a deceased donor’s pulmonary artery to overcome size mismatch, reduce surgical complexity, and eliminate the need for a pericardial patch.</p>