严重急性呼吸综合征冠状病毒2型感染并发心肺移植术后气管裂开的修复

Repair of Tracheal Dehiscence After Heart-Lung Transplant Complicated by SARS-CoV-2 Infection.

作者信息

Muñoz-Largacha Juan A, Donahue James M, Kaleekal Thomas, Rusanov Victoria, Myers René P, Hoopes Charles W, Orozco-Hernández Erik J

机构信息

Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

出版信息

Ann Thorac Surg Short Rep. 2023 Jun;1(2):335-338. doi: 10.1016/j.atssr.2023.02.007. Epub 2023 Feb 23.

DOI:10.1016/j.atssr.2023.02.007

PMID:36852006

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9946779/

Abstract

Airway complications are a major cause of morbidity after thoracic transplantation. Airway ischemia, necrosis, and tracheobronchial anastomotic dehiscence are associated with early mortality. We describe a case of tracheal anastomotic dehiscence after en bloc heart-lung transplant complicated by severe acute respiratory syndrome coronavirus 2 infection. Timely surgical management and reconstruction with a bovine pericardial patch and double muscle flap were performed. After 8 months of follow-up, there are no airway complications and normalized allograft function.

摘要

气道并发症是胸段移植术后发病的主要原因。气道缺血、坏死和气管支气管吻合口裂开与早期死亡率相关。我们描述了一例在整块心肺移植术后发生气管吻合口裂开并合并严重急性呼吸综合征冠状病毒2感染的病例。及时进行了手术处理，并用牛心包补片和双肌瓣进行了重建。经过8个月的随访，未出现气道并发症，移植器官功能恢复正常。