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Backtable bronchoplasty for donor tracheal bronchus in lung transplantation

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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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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 (2020).

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  • Lung transplantation
  • Tracheal bronchus
  • Bronchoplasty