Thorac Cardiovasc Surg 2010; 58(7): 427-428
DOI: 10.1055/s-0029-1240805
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© Georg Thieme Verlag KG Stuttgart · New York

A Novel Technique of Tracheal Reconstruction with Autologous Bronchial Pedicle Flap

Q. Chen1
  • 1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai, China
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Publikationsverlauf

received Sept. 15, 2009

Publikationsdatum:
04. Oktober 2010 (online)

Abstract

We describe a technique used in 2 patients for resection of a bronchogenic carcinoma arising from the right main bronchus and extending along the lateral wall of the lower trachea without carinal invasion. A right pneumonectomy was performed in the first case, and lower and middle lobes were preserved in the second case after extended upper lobe resection. A flap was mobilized from the non-involved left lateral wall of the right main bronchus, which was left attached to the carina. This was used to close the defect in the lower trachea. An autologous bronchial pedicle flap provides reliable material to repair and reconstruct a massive central airway defect.

References

  • 1 Meyer A, Krueger T, Lepori D et al. Closure of large intrathoracic airway defects using extrathoracic muscle flaps.  Ann Thorac Surg. 2004;  77 397-405
  • 2 Fica M, Rodríguez P, Prats R et al. Tracheal hamartoma: pericardial flap replacement of membranous tracheal wall.  Eur J Cardiothorac Surg. 2002;  21 (2) 355-357
  • 3 Janssen L M, Van Osch G J, Li J P et al. Tracheal reconstruction: mucosal survival on porous titanium.  Arch Otolaryngol Head Neck Surg. 2009;  135 (5) 472-478
  • 4 Gaissert H A. Primary tracheal tumors.  Chest Surg Clin N Am. 2003;  13 247-256
  • 5 Roviaro G, Varoli F, Romanelli A et al. Complications of tracheal sleeve pneumonectomy: personal experience and overview of the literature.  J Thorac Cardiovasc Surg. 2001;  121 234-240

Dr. Qiankun Chen

Department of Thoracic Surgery
Shanghai Pulmonary Hospital
Tongji University

507 Zheng Min Rd.

200433 Shanghai

China

Telefon: + 86 21 65 11 12 98

Fax: + 86 21 65 11 50 06

eMail: qiankun-chen@hotmail.com

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