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

[11]

Morgan E., Lima O., Goldberg M., Ferdman A., Luk S.K., Cooper J.D., Successful revascularization of totally ischaemic bronchial autograph with omental pedicle flaps in dogs, J Thorac Cardiovasc Surg, 84, pp. 204-210, (1982)

[12]

Morgan E., Lima O., Goldberg M., Ayabe H., Ferdman A., Cooper J.D., Improved bronchial healing in canine left lung re-implantadon using omental pedicle wrap, J Thorac Cardiovasc Surg, 85, pp. 134-139, (1983)

[13]

Nazari S., Prati U., Berti A., Hoffmann J.W., Moncalvo F., Zonta A., Successful bronchial revascularization in experimental single lung transplantation, Eur J Cardio-Thorac Surg, 4, (1990)

[14]

Pasque M.K., Cooper J.D., Kaiser L.R., Haydock D.A., Triantafillou A., Trulock F.P., Improved technique for bilateral lung transplantation: Rational and clinical experience, Ann Thorac Surg, 49, pp. 785-791, (1990)

[15]

Patterson G.A., Cooper J.D., Goldman B., Weisel R.D., Pearson F.G., Waters F.P., Todd T.R., Scully H., Goldberg M., Ginsberg R.J., Technique of successful clinical double-lung transplantation, Ann Thorac Surg, 45, pp. 626-633, (1988)

[16]

Patterson G.A., Todd T.R., Cooper J.D., Pearson F.G., Winton T.L., Maurer J., Airway complications after double lung transplantation, J Thorac Cardiovasc Surg, 99, pp. 14-20, (1990)

[17]

Schreinemakers H.H., Weder W., Miyoshi S., Harper B.D., Shimo-Kawa S., Egan T.M., Mc Knight R., Cooper J.D., Direct revascularization of bronchial arteries for lung transplantation: And anatomical study, Ann Thorac Surg, 49, pp. 44-53, (1990)

[18]

Unilateral lung transplantation for pulmonary fibrosis, N Engl J Med, 314, pp. 1140-1145, (1986)

[19]

Turrentine M.V., Kesler K.A., Wright C.D., Mc Ewen K.E., Faught P.R., Miller M.E., Mahomed Y., King H., Brown J.W., Effect of omental, intercostal, and internal mammary artery pedicle wraps on bronchial healing, Ann Thorac Surg, 49, pp. 574-578, (1990)

[20]

Yacoub M.H., Khaghani A., Pepper J.R., Lung Transplantation: An Overwiev, (1992)

← 1 2 →