|
|
||||||||
Ann Thorac Surg 1990;49:955-958
© 1990 The Society of Thoracic Surgeons
Service of Thoracic Surgery, Unit of Cardiothoracic Surgery, Department of Pathology, and Service of General Surgery, Hospital Clinic, Faculty of Medicine, University of Barcelona, Barcelona, Spain
Accepted for publication March 15, 1990.
* Address reprint requests to Dr Sánchez-Lloret, Unit of Cardiothoracic Surgery, Hospital Clinic, Villarroel 170, 08036 Barcelona, Spain.
Extensive tracheal stenotic lesions caused by tracheomalacia or neoplasms represent a surgical challenge. Segmental tracheal substitution is sometimes required to obtain radical cure. We present an experimental study of 27 dogs undergoing replacement of the cervical trachea using a vascularized small bowel segment as a tubular graft. A silicone stent was placed in the lumen of the intestinal fragment and was removed the second week after operation. Endoscopic and histological examinations were performed between the first week and second month after operation, and rigidity of the graft was assessed in all cases. No evidence of anastomotic stricture or mucous formation was found. Microscopic examination showed the substitution of bowel mucosa by squamous epithelium as well as the development of connective tissue favoring the fixation of the skeletal muscular structures of the neck to the serous layer of the graft, thus avoiding collapse of the new airway.
This article has been cited by other articles:
![]() |
D. Makris, M. Holder-Espinasse, A. Wurtz, A. Seguin, T. Hubert, S. Jaillard, M. C. Copin, R. Jashari, M. Duterque-Coquillaud, E. Martinod, et al. Tracheal Replacement With Cryopreserved Allogenic Aorta Chest, January 1, 2010; 137(1): 60 - 67. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Martinod, A. Seguin, M. Holder-Espinasse, M. Kambouchner, M. Duterque-Coquillaud, J. F. Azorin, and A. F. Carpentier Tracheal Regeneration Following Tracheal Replacement With an Allogenic Aorta Ann. Thorac. Surg., March 1, 2005; 79(3): 942 - 948. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Martinod, A. Seguin, K. Pfeuty, P. Fornes, M. Kambouchner, J. F. Azorin, and A. F. Carpentier Long-term evaluation of the replacement of the trachea with an autologous aortic graft Ann. Thorac. Surg., May 1, 2003; 75(5): 1572 - 1578. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. C. Grillo Tracheal replacement: a critical review Ann. Thorac. Surg., June 1, 2002; 73(6): 1995 - 2004. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. R. Fuchs, B. A. Nasseri, and J. P. Vacanti Tissue engineering: a 21st century solution to surgical reconstruction Ann. Thorac. Surg., August 1, 2001; 72(2): 577 - 591. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Martinod, R. Zegdi, G. Zakine, B. Aupecle, P. Fornes, A. D'Audiffret, J.-C. Chachques, J. Azorin, and A. Carpentier A novel approach to tracheal replacement: The use of an aortic graft J. Thorac. Cardiovasc. Surg., July 1, 2001; 122(1): 197 - 198. [Full Text] [PDF] |
||||
![]() |
W. Hicks Jr, L. Sigurdson, E. Gabalski, R. Hard, L. Hall III, J. Gardella, C. Powers, N. Kumar, and J. Lwebuga-Mukasa Does Cartilage Down-regulate Growth Factor Expression in Tracheal Epithelium? Arch Otolaryngol Head Neck Surg, November 1, 1999; 125(11): 1239 - 1243. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. Jadczuk High doses of hydrocortisone improved tracheal autograft revascularization Eur J Cardiothorac Surg, December 1, 1998; 14(6): 615 - 620. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Tojo, K. Niwaya, N. Sawabata, K. Kushibe, K. Nezu, S. Taniguchi, and S. Kitamura Tracheal replacement with cryopreserved tracheal allograft: experiment in dogs Ann. Thorac. Surg., July 1, 1998; 66(1): 209 - 213. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Kiriyama, A. Masaoka, Y. Yamakawa, H. Niwa, and Y. Fujii Experimental Reconstruction of the Mediastinal Trachea With a Wing-Shaped Reversed Esophageal Flap Ann. Thorac. Surg., August 1, 1997; 64(2): 349 - 354. [Abstract] [Full Text] |
||||
![]() |
K. Inutsuka, K. Kawahara, T. Takachi, K. Okabayashi, T. Shiraishi, and T. Shirakusa Reconstruction of Trachea and Carina With Immediate or Cryopreserved Allografts in Dogs Ann. Thorac. Surg., November 1, 1996; 62(5): 1480 - 1484. [Abstract] [Full Text] |
||||
![]() |
P. Macchiarini, G.-M. Mazmanian, V. de Montpreville, E. Dulmet, M. Fattal, B. Lenot, A. Chapelier, P. Dartevelle, and f. t. P.-S. U. L. T. Group EXPERIMENTAL TRACHEAL AND TRACHEOESOPHAGEAL ALLOTRANSPLANTATION J. Thorac. Cardiovasc. Surg., October 1, 1995; 110(4): 1037 - 1046. [Abstract] [Full Text] |
||||
![]() |
P. Macchiarini, B. Lenot, V. de Montpreville, E. Dulmet, G.-M. Mazmanian, M. Fattal, F. Guiard, A. Chapelier, P. Dartevelle, and f. t. P.-S. U. L. T. Group Heterotopic pig model for direct revascularization and venous drainage of tracheal allografts J. Thorac. Cardiovasc. Surg., December 1, 1994; 108(6): 1066 - 1075. [Abstract] [Full Text] |
||||
![]() |
H. C. Grillo Tracheal replacement Ann. Thorac. Surg., June 1, 1990; 49(6): 864 - 865. [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |