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The Journal of Thoracic and Cardiovascular Surgery, Vol 101, 1044-1052, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

The prevalence and management of bronchial anastomotic complications in lung transplantation

HJ Schafers, DA Haydock and JD Cooper
Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Mo.

The prevalence and management of bronchial anastomosis complications have been assessed in a series of 53 patients undergoing lung transplantation. Of the 50 patients subsequently at risk of airway complications, these problems occurred in seven (14%). Only one patient died as a direct result of the airway complication (2%). Four patients required airway stenting, and their management is discussed. Although airway healing is normal in the majority of patients undergoing lung transplantation (86%), when deficits occur they can usually be successfully managed with conservative treatment. Bronchial stenting may be required on either a temporary or a permanent basis.


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