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Reconstruction of the carina using bronchial autograft: an alternative approach

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Abstract

We report successful engraftment by autologous transplantation of the bronchial wall of the resected specimen in extensive tracheobronchial resection with left pneumonectomy. Since the adenoid cystic carcinoma had spread beyond the carina to the right bronchus, we resected three rings of tracheal cartilage and three rings of left main bronchus cartilage. Reconstruction was performed using the bronchial wall of the resected specimen to relieve tension on the anastomosis. No stricture or recurrence was observed four years after the operation. Further research relating to maximization of blood flow to the reconstructed tissue based on engraftment area and shape is required.

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Authors and Affiliations

  1. Department of General Thoracic, Breast and Endocrinological Surgery, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan

    Toshihiro Ikeda, Tetsuhiko Go, Atsushi Fujiwara & Hiroyasu Yokomise

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  1. Toshihiro Ikeda
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  2. Tetsuhiko Go
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  3. Atsushi Fujiwara
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  4. Hiroyasu Yokomise
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Correspondence to Toshihiro Ikeda.

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Ikeda, T., Go, T., Fujiwara, A. et al. Reconstruction of the carina using bronchial autograft: an alternative approach. Gen Thorac Cardiovasc Surg 69, 762–765 (2021). https://doi.org/10.1007/s11748-020-01543-8

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  • DOI: https://doi.org/10.1007/s11748-020-01543-8

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