Iacono A T, Masciangelo T N, Grgurich W F, Ohori N P, Keenan R J, Paradis I L, Griffith B P
Department of Medicine, University of Pittsburgh Medical Center.
Chest. 1994 Jul;106(1):311-3. doi: 10.1378/chest.106.1.311.
We report a nearly complete obstruction of the left mainstem bronchus by a fibrinomyxoid plaque about 12 h after laser resection of scar/granulation tissue at a left bronchial anastomosis 27 days after a left single lung transplant. The formation of this plaque was associated with respiratory failure. The plaque was removed by grasping the plaque with biopsy forceps inserted through a fiberoptic bronchoscopy that was placed into the left mainstem bronchus via an endotracheal tube while the patient was receiving manual ventilation under general anesthesia. The respiratory failure resolved with removal of the plaque. To our knowledge, this is a complication that has not been reported previously.
我们报告了1例左单肺移植术后27天，在左支气管吻合口处激光切除瘢痕/肉芽组织约12小时后，纤维黏液样斑块几乎完全阻塞左主支气管的病例。该斑块的形成与呼吸衰竭有关。在全身麻醉下患者接受手动通气时，通过经气管内导管插入左主支气管的纤维支气管镜，用活检钳夹住斑块将其取出。取出斑块后呼吸衰竭得以缓解。据我们所知，这是一种此前未被报道过的并发症。
