Kirk A J, Conacher I D, Corris P A, Ashcroft T, Dark J H
Cardiopulmonary Transplant Unit, Freeman Hospital, Newcastle upon Tyne, England.
Ann Thorac Surg. 1990 Jan;49(1):147-9. doi: 10.1016/0003-4975(90)90377-i.
A case of bronchial dehiscence despite bronchial omentopexy is described in a patient nine days after single-lung transplantation. Rethoracotomy was undertaken as soon as the diagnosis was established before superinfection occurred. Necrotic bronchus was excised, with the anastomosis sited distally on the donor bronchus. The omentum was necrotic, and the new anastomosis was wrapped with a vascularized pedicle of pericardium. Six months after this procedure, the patient remains well.
本文描述了一例单肺移植术后九天患者，尽管进行了支气管网膜固定术仍发生支气管裂开的病例。一旦确诊，在发生超级感染之前立即进行了再次开胸手术。切除坏死的支气管，将吻合口置于供体支气管的远端。网膜坏死，用带血管蒂的心包包裹新的吻合口。此手术后六个月，患者情况良好。
