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  • Title: [Study of tracheobronchial healing after lung and heart-lung transplantation. Apropos of 64 anastomoses].
    Author: Giudicelli R, Le Mee F, Thomas P, Reynaud M, Garbe L, Camillieri S, Badier M, Viard L, Barthélemy A, Auffray JP.
    Journal: Ann Chir; 1993; 47(2):99-102. PubMed ID: 8317883.
    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 I, 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 post-operative mechanical respiratory support, as well as the proximal or distal site of the anastomosis appeared to be of significant prognostic value.
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