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Backtable bronchoplasty for donor tracheal bronchus in lung transplantation

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Abstract

The management of a tracheal bronchus in lung transplantation is poorly studied and ill-defined. We report a case of lung transplantation performed using a donor right lung graft with an apical tracheal bronchus and propose a novel anastomosis technique for this procedure. The neo-upper lobe bronchus created by suturing the apical tracheal bronchus and the upper lobe bronchus of the donor was anastomosed to the upper lobe bronchus of the recipient in a double-barrel fashion. A follow-up at 19 months demonstrated no stenosis of the anastomosis. The advantages and potential disadvantages of this procedure are discussed.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan

    So Miyahara, Masatsugu Hamaji, Akihiro Aoyama, Daisuke Nakajima, Hideki Motoyama, Toyofumi F. Chen-Yoshikawa & Hiroshi Date

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  1. So Miyahara
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  2. Masatsugu Hamaji
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  3. Akihiro Aoyama
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  4. Daisuke Nakajima
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  5. Hideki Motoyama
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  6. Toyofumi F. Chen-Yoshikawa
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  7. Hiroshi Date
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Correspondence to Hiroshi Date.

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Miyahara, S., Hamaji, M., Aoyama, A. et al. Backtable bronchoplasty for donor tracheal bronchus in lung transplantation. Gen Thorac Cardiovasc Surg 68, 1536–1538 (2020). https://doi.org/10.1007/s11748-020-01305-6

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  • DOI: https://doi.org/10.1007/s11748-020-01305-6

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