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Medium term results of direct bronchial arterial revascularisation using IMA for single lung transplantation (SLT with direct revascularisation)

Medium term results of direct bronchial arterial revascularisation using IMA for single lung... Abstract OBJECTIVE: To describe a technique of direct revascularisation of thebronchial artery using the left IMA and assess its medium term results inpatients undergoing left single lung transplant (SLT). METHODS: BetweenMarch 1991 and September 1993, 22 patients who underwent direct bronchialrevascularisation at the time of left SLT (20 pedicled IMA, one free IMA,and one direct anastomosis to the aorta) have been followed up for aminimum period of 1 year (mean 30 +/- 12 months). Their mean age was 47.8+/- 9.6 and the original disease was emphysema in 19,lymphangioleiomyomatosis in two, and pulmonary fibrosis in one. The meanischaemia time was 269.7 +/- 23.4 min. RESULTS: There was one early death(4.5%) and 3 patients were re-explored for bleeding. The actuarial survivalat 1 and 3 years was 91 +/- 0.4% and 82.6 +/- 1%, respectively. Bronchialhealing was excellent in all patients and angiographic studies showedpatent vascular anastomosis in all 22 patients, with good run off in 20 andpoor in two. One patient developed clinical obliterative bronchiolitis at22 months (4.5%) during a period of follow up varying from 12 to 43 months(mean 30 S.D. 12). At last follow up the mean FEV1 was 1.4 +/- 0.4 and themean FVC was 2.2 +/- 0.6. On average, each patient developed 1.5 +/- 0.6infection episodes and 1 +/- 0.2 acute lung rejection. CONCLUSION: It isconcluded that the medium term results of direct bronchialrevascularisation are good. However the influence of this procedure on longterm results needs further investigation. This content is only available as a PDF. © 1997 Elsevier Science B.V. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cardio-Thoracic Surgery Oxford University Press

Medium term results of direct bronchial arterial revascularisation using IMA for single lung transplantation (SLT with direct revascularisation)

European Journal of Cardio-Thoracic Surgery , Volume 11 (6) – Jun 1, 1997
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References (17)

Publisher
Oxford University Press
Copyright
© 1997 Elsevier Science B.V.
Subject
Articles
ISSN
1010-7940
eISSN
1873-734X
DOI
10.1016/S1010-7940(96)01128-1
Publisher site
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Abstract

Abstract OBJECTIVE: To describe a technique of direct revascularisation of thebronchial artery using the left IMA and assess its medium term results inpatients undergoing left single lung transplant (SLT). METHODS: BetweenMarch 1991 and September 1993, 22 patients who underwent direct bronchialrevascularisation at the time of left SLT (20 pedicled IMA, one free IMA,and one direct anastomosis to the aorta) have been followed up for aminimum period of 1 year (mean 30 +/- 12 months). Their mean age was 47.8+/- 9.6 and the original disease was emphysema in 19,lymphangioleiomyomatosis in two, and pulmonary fibrosis in one. The meanischaemia time was 269.7 +/- 23.4 min. RESULTS: There was one early death(4.5%) and 3 patients were re-explored for bleeding. The actuarial survivalat 1 and 3 years was 91 +/- 0.4% and 82.6 +/- 1%, respectively. Bronchialhealing was excellent in all patients and angiographic studies showedpatent vascular anastomosis in all 22 patients, with good run off in 20 andpoor in two. One patient developed clinical obliterative bronchiolitis at22 months (4.5%) during a period of follow up varying from 12 to 43 months(mean 30 S.D. 12). At last follow up the mean FEV1 was 1.4 +/- 0.4 and themean FVC was 2.2 +/- 0.6. On average, each patient developed 1.5 +/- 0.6infection episodes and 1 +/- 0.2 acute lung rejection. CONCLUSION: It isconcluded that the medium term results of direct bronchialrevascularisation are good. However the influence of this procedure on longterm results needs further investigation. This content is only available as a PDF. © 1997 Elsevier Science B.V.

Journal

European Journal of Cardio-Thoracic Surgery – Oxford University Press

Published: Jun 1, 1997

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