Management of a tracheal bronchus in a pediatric lung transplant recipient.

Successful pediatric lung transplantation requires intraoperative identification and management of unforeseen anomalies in the recipient. Effective technical improvisation combines awareness of bronchial anatomic anomalies with experience in recent modifications in airway anastomotic techniques. We report a case of successful bilateral sequential double-lung transplantation in a child with the right upper lobe bronchus arising from the trachea.