Backtable bronchoplasty for donor tracheal bronchus in lung transplantation

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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References

  1. 1.

    Doolittle AM, Mair EA. Tracheal bronchus: classification, endoscopic analysis, and airway management. Otolaryngol Head Neck Surg. 2002;126(3):240–3.

    Article  Google Scholar 

  2. 2.

    Ghaye B, Szapiro D, Fanchamps JM, Dondelinger RF. Congenital bronchial abnormalities revisited. Radiographics. 2001;21(1):105–19.

    CAS  Article  Google Scholar 

  3. 3.

    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.

    Article  Google Scholar 

  4. 4.

    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.

    Article  Google Scholar 

  5. 5.

    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.

    CAS  Article  Google Scholar 

  6. 6.

    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.

    CAS  Article  Google Scholar 

  7. 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.

    CAS  Article  Google Scholar 

  8. 8.

    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.

    Article  Google Scholar 

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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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Keywords

  • Lung transplantation
  • Tracheal bronchus
  • Bronchoplasty