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心肺移植术后气管吻合口的血管重建

Revascularization of tracheal anastomosis following heart-lung transplantation.

作者信息

Guthaner D F, Wexler L, Sadeghi A M, Blank N E, Reitz B A

出版信息

Invest Radiol. 1983 Nov-Dec;18(6):500-3. doi: 10.1097/00004424-198311000-00003.

DOI:10.1097/00004424-198311000-00003
PMID:6417043
Abstract

The mechanism by which tracheobronchial arterial supply is reconstituted following heart-lung transplantation was investigated in seven monkeys (3 allografts, 2 autografts, and 2 nontransplanted control monkeys) and three patients. Descending tracheal branches of the thyrocervical arteries provided the major tracheal vascular supply. A collateral branch arising from atrial branches of the left coronary artery supplied tracheobronchial branches in the region of the carina in one allograft. In the three patients studied to date by coronary arteriography, a similar collateral supply to the region of the carina and proximal bronchi was demonstrated from atrial branches of both the left and right coronary circulation.

摘要

在7只猴子(3只同种异体移植、2只自体移植以及2只未移植的对照猴)和3例患者中,研究了心肺移植后气管支气管动脉血供重建的机制。甲状腺颈干的气管降支提供了主要的气管血管供应。在1只同种异体移植猴中,发自左冠状动脉心房支的一个侧支供应隆突区域的气管支气管分支。在目前通过冠状动脉造影研究的3例患者中,左、右冠状动脉循环的心房支均显示向隆突和近端支气管区域有类似的侧支供应。

相似文献

1
Revascularization of tracheal anastomosis following heart-lung transplantation.心肺移植术后气管吻合口的血管重建
Invest Radiol. 1983 Nov-Dec;18(6):500-3. doi: 10.1097/00004424-198311000-00003.
2
New technique of vascularization of the trachea and bronchus for lung transplantation.用于肺移植的气管和支气管血管化新技术。
J Heart Lung Transplant. 1991 Mar-Apr;10(2):280-7.
3
Systemic arterial blood supply to the trachea and lung in sheep.
J Appl Physiol (1985). 1987 Jun;62(6):2283-7. doi: 10.1152/jappl.1987.62.6.2283.
4
Coronary tracheal collaterals after heart-lung transplant.
Am J Cardiol. 2003 Dec 15;92(12):1490-2. doi: 10.1016/j.amjcard.2003.08.071.
5
[Anatomical bases for bronchial arterial revascularization in double lung transplantation].
Ann Chir. 1992;46(2):97-104.
6
Bronchial revascularization in double-lung transplantation: a series of 8 patients. Bordeaux Lung and Heart-Lung Transplant Group.双肺移植中的支气管血管重建:8例患者系列研究。波尔多肺与心肺移植组
Ann Thorac Surg. 1992 Jan;53(1):88-94. doi: 10.1016/0003-4975(92)90764-u.
7
Anatomy and vascular perfusion territories of the superior thyroid artery in Macaca mulatta.
Laryngoscope. 1998 Jul;108(7):1062-5. doi: 10.1097/00005537-199807000-00020.
8
Heterotopic pig model for direct revascularization and venous drainage of tracheal allografts. Paris-Sud University Lung Transplantation Group.
J Thorac Cardiovasc Surg. 1994 Dec;108(6):1066-75.
9
Heterotopic en bloc tracheobronchial transplantation with direct revascularization in pigs.猪体内带直接血管重建的异位整块气管支气管移植术。
J Thorac Cardiovasc Surg. 2004 Jun;127(6):1593-601. doi: 10.1016/j.jtcvs.2004.01.039.
10
Long-term hemodynamics following combined heart and lung transplantation in primates.灵长类动物心肺联合移植后的长期血流动力学
J Thorac Cardiovasc Surg. 1985 Jan;89(1):55-62.

引用本文的文献

1
Sequential redo-bilateral lung transplantation in recipient with prior heart-lung transplantation with tracheal anastomosis.先前接受心肺移植并进行气管吻合术的受者进行序贯再次双侧肺移植。
JTCVS Tech. 2023 Apr 8;19:160-163. doi: 10.1016/j.xjtc.2023.03.017. eCollection 2023 Jun.
2
Airway hypoxia in lung transplantation.肺移植中的气道缺氧
Curr Opin Physiol. 2019 Feb;7:21-26. doi: 10.1016/j.cophys.2018.12.002. Epub 2018 Dec 13.
3
Bronchial blood supply after lung transplantation without bronchial artery revascularization.
肺移植后不进行支气管动脉血重建的支气管血供。
Curr Opin Organ Transplant. 2010 Oct;15(5):563-7. doi: 10.1097/MOT.0b013e32833deca9.
4
Lung transplant airway hypoxia: a diathesis to fibrosis?肺移植气道缺氧:纤维化的易患因素?
Am J Respir Crit Care Med. 2010 Jul 15;182(2):230-6. doi: 10.1164/rccm.200910-1573OC. Epub 2010 Mar 25.
5
The bronchial arteries: anatomic study and application to lung transplantation.
Surg Radiol Anat. 1995;17(4):293-9. doi: 10.1007/BF01795185.
6
Measurement of bronchial blood flow in the sheep by video dilution technique.通过视频稀释技术测量绵羊的支气管血流。
Thorax. 1985 Feb;40(2):143-9. doi: 10.1136/thx.40.2.143.
7
The bronchial arteries. A review of their anatomy and their anastomoses with the coronary arteries.支气管动脉。对其解剖结构及其与冠状动脉吻合情况的综述。
Surg Radiol Anat. 1991;13(1):69-71. doi: 10.1007/BF01623149.