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Ann Thorac Surg 1984;38:211-214
© 1984 The Society of Thoracic Surgeons

Articles

Bronchial Omentopexy in Canine Lung Allotransplantation

Paul Dubois, M.D., Louise Choiniere, M.D., Joel D. Cooper, M.D.*

Division of Thoracic Surgery, Toronto General Hospital, Toronto, Ont, Canada

Accepted for publication February 29, 1984.

* Address reprint requests to: Dr Cooper, 10-226 Eaton Bldg, Toronto General Hospital, 200 Elizabeth St, Toronto, Ont, Canada M5G 1L7

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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