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.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Doolittle AM, Mair EA. Tracheal bronchus: classification, endoscopic analysis, and airway management. Otolaryngol Head Neck Surg. 2002;126(3):240–3.
Ghaye B, Szapiro D, Fanchamps JM, Dondelinger RF. Congenital bronchial abnormalities revisited. Radiographics. 2001;21(1):105–19.
Sekine Y, Fischer S, de Perrot M, Pierre AF, Keshavjee S. Bilateral lung transplantation using a donor with a tracheal right upper lobe bronchus. Ann Thorac Surg. 2002;73(1):308–10.
Hendriks JM, Deblier I, Dieriks B, Janssens A, Coosemans W, Ten Broecke P, et al. Successful bilateral lung transplant from a donor with a tracheal right upper lobe bronchus. J Thorac Cardiovasc Surg. 2009;137(3):771–3.
Brichon PY, Blin D, Perez I, Pison C, Blanc-Jouvan F, Pin I, et al. Double-lung transplantation using donor lungs with a right tracheal bronchus. Ann Thorac Surg. 1992;54(4):777–8.
Schmidt F, McGiffin D, Zorn D, Young KR, Weill D, Kirklin JK. Management of congenital abnormalities of the donor lung. Ann Thorac Surg. 2001;72(3):935–7.
Noirclerc MJ, Metras D, Vaillant A, Dumon JF, Zimmermann JM, Caamano A, et al. Bilateral bronchial anastomosis in double lung and heart-lung transplantations. Eur J Cardiothorac Surg. 1990;4:314–7.
Kayawake H, Chen-Yosikawa TF, Aoyama A, Motoyama H, Hamaji M, Hijiya K, et al. Surgical management of bronchial stumps in lobar lung transplantation. J Thorac Cardiovasc Surg. 2018;156:451–60.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
About this article
Cite this article
Miyahara, S., Hamaji, M., Aoyama, A. et al. Backtable bronchoplasty for donor tracheal bronchus in lung transplantation. Gen Thorac Cardiovasc Surg (2020). https://doi.org/10.1007/s11748-020-01305-6
- Lung transplantation
- Tracheal bronchus