title: Salvaging the dehisced lung transplant bronchial anastomosis with homograft aorta.
abstract: This is a case of 50-year-old male who underwent left single lung transplantation for pulmonary fibrosis. He sustained a bronchial dehiscence with a pulmonary artery-bronchial fistula which was primarily repaired. One week later, there was complete bronchial dehiscence followed by a massive hemoptysis. At operation, following resection of necrotic donor bronchus there was a sizeable gap between donor and recipient bronchus, which was bridged with a cryopreserved aortic homograft. The homograft patch provided a satisfactory repair without malacia. The patient required retransplantation six months later for reasons unassociated with the repair. Homograft aorta proved useful material for salvaging the dehisced lung transplant bronchial anastomosis.
authors.affiliation: Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, AL 35294, USA. david.mcgiffin@ccc.uab.edu
authors.forename: David
authors.initials: D
authors.lastname: McGiffin
authors.forename: Keith
authors.initials: K
authors.lastname: Wille
authors.forename: Keith
authors.initials: K
authors.lastname: Young
authors.forename: Kevin
authors.initials: K
authors.lastname: Leon
mesh_terms: D000714:Anastomosis, Surgical; D001011:Aorta / Q000637:transplantation*; D001980:Bronchi / Q000473:pathology / Q000637:transplantation*; D001983:Bronchial Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001999:Bronchoscopy; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery*; D011658:Pulmonary Fibrosis / Q000601:surgery*; D012086:Reoperation; D016879:Salvage Therapy; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*