EARLY EXPERIENCE OF DOUBLE-LUNG TRANSPLANTATION WITH BRONCHIAL ARTERY REVASCULARIZATION USING MAMMARY ARTERY

被引：32

作者：

PETTERSSON, G

ARENDRUP, H

MORTENSEN, SA

ALDERSHVILE, J

THIIS, JJ

AGGESTRUP, S

SVENDSEN, UG

EFSEN, F

机构：

[1] Department of Cardiothoracic Surgery, University Hospital of Copenhagen, Copenhagen, 2100, Rigshospitalet

[2] Department of Medicine, Division of Cardiology, University Hospital of Copenhagen, Copenhagen, 2100, Rigshospitalet

[3] Radiology, Cardiovascular Section, University Hospital of Copenhagen, Copenhagen, 2100, Rigshospitalet

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1994年 / 8卷 / 10期

关键词：

DOUBLE-LUNG TRANSPLANTATION; BRONCHIAL REVASCULARIZATION; INTERNAL MAMMARY ARTERY;

D O I：

10.1016/1010-7940(94)90069-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

En-bloc double-lung transplantation with tracheal and bronchial revascularization using the left internal mammary artery has been performed in 14 Danish patients. Primary healing of the tracheal anastomosis was observed in 12 patients, in 10 of whom a successful revascularization has been verified by angiography. Two patients have been operated recently and not yet examined by angiography. Mucosal necrosis and subsequent development of bronchial stenosis had to be treated by left-sided pneumonectomy in two patients with failed revascularization. All patients were early survivors (1-14 months). We conclude that bronchial revascularization with the internal mammary artery is possible with an acceptable success rate and is associated with primary healing of the tracheal anastomosis. The impact on long-term results remains to be seen.

引用

页码：520 / 524

页数：5

共 20 条

[1]

Couraud L., Baudet E., Martigne C., Roques X., Velly J.N., Dubrez J., Clerc F., Dromer C., Vallieres E., Revascularization in Double-lung Transplantation: A Series of 8 Patients, Ann Thorac Surg, 53, pp. 88-94, (1992)

[2]

Couraud L., Baudet E., Nashef S., Martigne C., Roques X., Velly J.F., Laborde N., Dubrez J., Clerc F., Lung transplantation with bronchial revascularization. Surgical anatomy, operative techniques, and early results, Eur J Cardio-Thorac Surg, 6, pp. 490-495, (1992)

[3]

Couraud L., Nashef S., Nicolini P., Jougon J., Classification of airway anastomotic healing, Eur J Cardio-Thorac Surg, 6, pp. 496-497, (1992)

[4]

Fell S.C., Mollenkopf F.P., Montofusco C.M., Mitsudo S., Kamholz S.L., Goldsmith H.J., Veith F.J., Revascularization of ischaemic bronchial anastomoses by an intercostal pedicle flap, J Thorac Cardiovasc Surg, 90, pp. 172-178, (1985)

[5]

Fujino S., Inouc S., Yamashila N., Mori A., An experimental study on direct revascularization of bronchial circulation by microvascular anastomosis, J Thorac Cardiovasc Surg, 104, pp. 1067-1074, (1992)

[6]

Lima O., Cooper J.D., Peters W.J., Ayabe H., Townsend E., Luk S.C., Goldberg M., Effects of methylprednisolone and azathi-opine on bronchial healing following lung autotransplantation, J Thorac Cardiovasc Surg, 82, pp. 211-215, (1981)

[7]

Lima O., Goldberg M., Peters W.J., Ayabe H., Townsend E., Cooper J.D., Bronchial omentopexy in canine lung transplantation, J Thorac Cardiovasc Surg, 83, pp. 418-421, (1982)

[8]

Mayer E., Cardoso P.F., Puskas J.D., De Campos K., Oka T., Dar-Dicic I., Patterson G.A., The effect of basic fibroblast growth factor and omentopexy on revascularization and epithelial regeneration of heterotopic rat tracheal isografts, J Thorac Cardiovasc Surg, 104, pp. 180-188, (1992)

[9]

Metras H., Note preliminaire sur la greffe total du poumon chez le chien, Proc Acad Sci, 231, pp. 1176-1177, (1950)

[10]

Metras D., Henri Metras: A pioneer in lung transplantation, J Heart Lung Transplant, 11, (1992)

← 1 2 →