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Sunil Singhal
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Right arrow Lung - transplantation

Ann Thorac Surg 2003;76:2075-2076
© 2003 The Society of Thoracic Surgeons

Case report

Bronchial sleeve resection for posttransplant stricture

E. Carter Paulson, BSa, Sunil Singhal, MDa, John C. Kucharczuk, MDa, Daniel H. Sterman, MDb, Larry R. Kaiser, MDa, M. Blair Marshall, MDa*

a Section of Thoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
b Pulmonary, Allergy, and Critical Care Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

Accepted for publication April 29, 2003.

* Address reprint requests to Dr Marshall, Section of Thoracic Surgery, Hospital of the University of Pennsylvania, 3400 Spruce St, 6 Silverstein Pavilion, Philadelphia, PA 19104-4227, USA
e-mail: blair.marshall{at}uphs.upenn.edu

Nonanastomotic bronchial stenosis is a rare complication of lung transplantation. We report a case of a bilateral lung transplant recipient who experienced recalcitrant stenosis of the bronchus intermedius. All attempts at conservative management failed, and the stricture was successfully treated by a parenchymal-sparing segmental sleeve resection. Although rare, this is an important technique in the management of this difficult problem.






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