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The Annals of Thoracic Surgery, Vol 38, 211-214, Copyright © 1984 by The Society of Thoracic Surgeons
P Dubois, L Choiniere and JD Cooper
Impaired bronchial healing has been a major source of morbidity and
mortality following clinical lung transplantation. Bronchial ischemia
secondary to division of the systemic bronchial blood supply may be an
important cause of these complications. Bronchial omentopexy was performed
in conjunction with lung allotransplantation in 6 dogs. Revascularization
of the distal bronchial circulation through the omental pedicle was
demonstrated in all instances by postmortem injection studies done through
the celiac artery. Bronchostenosis occurred in 1 dog. No other
complications were encountered. In view of the frequency of bronchial
anastomotic complications following human lung transplantation, the
technique of bronchial omentopexy warrants serious consideration.
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