Management of Bilateral Necrotizing Bronchial Dehiscence following a Double Lung Transplantation
Necrotizing bronchial dehiscence following lung transplantation is a rare and deadly complication with no strict management consensus. Here, we report the case of a patient who underwent bilateral sequential lung transplantation for cystic fibrosis through a clamshell incision and developed, on postoperative day 17, complete bilateral anastomotic dehiscence. The latter was attributed to a Pseudomonas aeruginosa and Aspergillus necrotizing infection. The patient was managed surgically using a bilateral posterolateral thoracotomy approach with resection of the bronchial margins, end-to-end re-anastomosis and intercostal muscle coverage.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Swenn Maxence Kr ähenbühl, Michel Gonzalez, John-David Aubert, Michael Tamm, Hans-Beat Ris, Thorsten Krueger, Jean Yannis Perentes Source Type: research
More News: Aspergillus | Cardiology | Cardiovascular | Cardiovascular & Thoracic Surgery | Cystic Fibrosis | Heart | Lung Transplant | Thoracotomy | Transplants