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[Tracheobronchial healing after lung and heart-lung transplantations. Apropos of 64 anastomoses].
- Source :
-
Annales de cardiologie et d'angeiologie [Ann Cardiol Angeiol (Paris)] 1994 Sep; Vol. 43 (7), pp. 380-3. - Publication Year :
- 1994
-
Abstract
- The authors report an analysis concerning the healing of tracheo-bronchial anastomoses after lung- and heart-lung transplantation. The present study includes 64 anastomoses selected from a total of 80 cases. Sixteen had to be excluded because of early post-operative death; none of these deaths was related to an air-way complication. Bronchial healing was assessed by bronchoscopic follow-up; the appearance of the suture-line was classified according to Couraud's grades. The initial reference was the examination at 2 weeks, which was compared to subsequent follow-up. At the initial assessment, 42 anastomoses were grade 1, 4 were grade II, and 18 were grade III. The subsequent anatomic result was satisfactory for 52 sutures (81%). The complications were malacia in 2 cases, stenoses treated with a stenting device in 4 cases, dehiscence in 6 cases. The duration of ischemia and postoperative mechanical respiratory support, as well as the proximal or distal site of the anastomosis appeared to be of significant prognostic value.
- Subjects :
- Adolescent
Adult
Anastomosis, Surgical
Bronchoscopy
Child
Factor Analysis, Statistical
Female
Fiber Optic Technology
Humans
Male
Middle Aged
Prognosis
Time Factors
Bronchi surgery
Heart Transplantation adverse effects
Heart-Lung Transplantation adverse effects
Lung Transplantation adverse effects
Trachea surgery
Wound Healing
Subjects
Details
- Language :
- French
- ISSN :
- 0003-3928
- Volume :
- 43
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Annales de cardiologie et d'angeiologie
- Publication Type :
- Academic Journal
- Accession number :
- 7993031