Evidence map›Paper›PMID 39516968›Full record

ArticleGeneral thoracic and cardiovascular surgery cases2023

Bilateral living-related lobar lung transplantation avoiding bronchial stenosis associated with scoliosis by modified anastomosis: a case report.

Junichi Takada, Masaaki Sato, Chihiro Konoeda, Hiroyuki Kaneko, Shogo Shimada, Yasutaka Hirata, Erika Yuasa, Takayuki Oyanagi, Hiroyuki Fukushima, Jun Nakajima

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Article in General thoracic and cardiovascular surgery cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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10 authors.

Junichi TakadaDepartment of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Masaaki SatoDepartment of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan. SATOM-SUR@h.u-tokyo.ac.jp.ORCID http://orcid.org/0000-0003-1693-8573
Chihiro KonoedaDepartment of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Hiroyuki KanekoDepartment of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Shogo ShimadaDepartment of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Yasutaka HirataDepartment of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Erika YuasaDepartment of Pediatrics, Keio University School of Medicine, 35 Shinano-Machi, Shinjuku-Ku, Tokyo, 160-8582, Japan.
Takayuki OyanagiDepartment of Pediatrics, Keio University School of Medicine, 35 Shinano-Machi, Shinjuku-Ku, Tokyo, 160-8582, Japan.
Hiroyuki FukushimaDepartment of Pediatrics, Keio University School of Medicine, 35 Shinano-Machi, Shinjuku-Ku, Tokyo, 160-8582, Japan.
Jun NakajimaDepartment of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere thoracic deformity caused by scoliosis often hampers lung transplantation (LTx) due to its underlying restrictive ventilatory dysfunction. Postoperative stenosis of the reconstructed bronchus due to spinal compression is also a complication after LTx in patients with scoliosis. Previous reports on LTx with scoliosis and its outcomes have not discussed the technical aspect of bronchial anastomosis. This report describes a case in which bronchial stenosis was avoided by modifying the angle of the right bronchial anastomosis. CASE PRESENTATION: A 26-year-old woman with atrial septal defect (ASD), pulmonary hypertension, Eisenmenger's syndrome, and severe right scoliosis underwent bilateral living-related lobar LTx with her parents as donors followed by ASD closure. Left pneumonectomy and anastomosis preceded. On the right side, after pneumonectomy, the recipient's right main bronchus was trimmed to rotate the bronchial anastomosis clockwise by 45°. This resulted in clockwise rotation of the graft (the lower lobe of the mother's right lung), making axes of the graft and deformed vertebrae parallel. Postoperative bronchoscopy 2 months after surgery showed no evidence of compression or stenosis of the basal bronchial branch.

conclusionBy obliquely trimming the recipient's right main bronchus to make the angle of the pulmonary graft and deformed thorax parallel, postoperative bronchial stenosis owing to severe scoliosis was successfully avoided.

Indexed as

AnastomosisBronchial stenosisLung transplantationScoliosis

Identifiers

PMID39516968
PMCPMC11533467

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