title: [Tracheobronchial healing after lung and heart-lung transplantations. Apropos of 64 anastomoses].
abstract: The authors report an analysis concerning the healing of tracheo-bronchial anastomoses after lung- and heart-lung transplantation. The present study includes 64 anastomoses selected from a total of 80 cases. Sixteen had to be excluded because of early post-operative death; none of these deaths was related to an air-way complication. Bronchial healing was assessed by bronchoscopic follow-up; the appearance of the suture-line was classified according to Couraud's grades. The initial reference was the examination at 2 weeks, which was compared to subsequent follow-up. At the initial assessment, 42 anastomoses were grade 1, 4 were grade II, and 18 were grade III. The subsequent anatomic result was satisfactory for 52 sutures (81%). The complications were malacia in 2 cases, stenoses treated with a stenting device in 4 cases, dehiscence in 6 cases. The duration of ischemia and postoperative mechanical respiratory support, as well as the proximal or distal site of the anastomosis appeared to be of significant prognostic value.
authors.affiliation: Service de Chirurgie Thoracique et des Maladies de l'Oesophage, Hôpital Sainte-Marguerite, Marseille.
authors.forename: R
authors.initials: R
authors.lastname: Giudicelli
authors.forename: F
authors.initials: F
authors.lastname: Le Mee
authors.forename: P
authors.initials: P
authors.lastname: Thomas
authors.forename: M
authors.initials: M
authors.lastname: Reynaud
authors.forename: L
authors.initials: L
authors.lastname: Garbe
authors.forename: S
authors.initials: S
authors.lastname: Camillieri
authors.forename: M
authors.initials: M
authors.lastname: Badier
authors.forename: L
authors.initials: L
authors.lastname: Viard
authors.forename: A
authors.initials: A
authors.lastname: Barthélemy
authors.forename: J P
authors.initials: JP
authors.lastname: Auffray
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D001980:Bronchi / Q000601:surgery*; D001999:Bronchoscopy; D002648:Child; D005163:Factor Analysis, Statistical; D005260:Female; D005336:Fiber Optic Technology; D016027:Heart Transplantation / Q000009:adverse effects; D016041:Heart-Lung Transplantation / Q000009:adverse effects; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013997:Time Factors; D014132:Trachea / Q000601:surgery*; D014945:Wound Healing
vernacular_title: Etude de la cicatrisation trachéo-bronchique après transplantations pulmonaires et cardio-pulmonaires. A propos de 64 anastomoses.