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Mitchell J. Magee
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Ann Thorac Surg 1994;58:229-231
© 1994 The Society of Thoracic Surgeons

Articles

Management of a tracheal bronchus in a pediatric lung transplant recipient

Mitchell J. Magee, MD, Bartley P. Griffith, MD, John M. Armitage, MD*

Division of Cardiotharacic Surgery, University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania USA

Accepted for publication November 1, 1993.

* Address reprint requests to Dr Armitage, University of Pittsburgh Medical Center, Suite C700 Presbyterian-University Hospital, DeSoto & O'Hara Sts, Pittsburgh, PA 15213.

Successful pediatric lung transplantation requires intraoperative identification and management of unforeseen anomalies in the recipient. Effective technical improvisation combines awareness of bronchial anatomic anomalies with experience in recent modifications in airway anastomotic techniques. We report a case of successful bilateral sequential double-lung transplantation in a child with the right upper lobe bronchus arising from the trachea.




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