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The Annals of Thoracic Surgery, Vol 49, 147-149, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Successful surgical management of bronchial dehiscence after single- lung transplantation

AJ Kirk, ID Conacher, PA Corris, T Ashcroft and JH Dark
Cardiopulmonary Transplant Unit, Freeman Hospital, Newcastle upon Tyne, England.

A case of bronchial dehiscence despite bronchial omentopexy is described in a patient nine days after single-lung transplantation. Rethoracotomy was undertaken as soon as the diagnosis was established before superinfection occurred. Necrotic bronchus was excised, with the anastomosis sited distally on the donor bronchus. The omentum was necrotic, and the new anastomosis was wrapped with a vascularized pedicle of pericardium. Six months after this procedure, the patient remains well.


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