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Lookup NU author(s): Professor John Dark
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Copyright © 2018 Elsevier Inc. All rights reserved. Bronchial anastomotic breakdown was a major complication in the early days of lung transplantation. Their solution, achieved through an understanding of airway ischemia from the laboratory, was key to the initial clinical success. Subsequently, risk factors, such as prolonged ventilation in both donor and recipient, primary graft dysfunction, and recipient age, have emerged. Innovations, such as local tissue wrapping, telescoping the anastomosis, and bronchial artery revascularization, have not stood the test of time. The short donor bronchus, with a suture line at the level of the lobar bronchus carina, is a proven technique that should be adopted by surgeons.
Author(s): Dark JH
Publication type: Review
Publication status: Published
Journal: Thoracic Surgery Clinics
Print publication date: 01/08/2018
Online publication date: 24/07/2018
Acceptance date: 02/04/2018
ISSN (print): 1547-4127
ISSN (electronic): 1558-5069
PubMed id: 30054073