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J Thorac Cardiovasc Surg 2005;129:456-457
© 2005 The American Association for Thoracic Surgery

Brief Communications

A novel technique for semiselective in situ bronchial artery perfusion in human lung retrieval

Bernhard Gohrbandt, MD, Gregor Warnecke, MD, Stefan Fischer, MD, MSc, Axel Haverich, MD, Martin Strueber, MD*

Hannover Thoracic Transplant Program, Division of Thoracic- and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany

Received for publication December 19, 2003; accepted for publication June 2, 2004.

* Address for reprints: Martin Strueber, MD, Director, Hannover Thoracic Transplant Program, Division of Thoracic- and Cardiovascular Surgery, Hannover Medical School, Carl-Neuberg-Strasse 1, 30623 Hannover, Germany (E-mail: strueber@thg.mh-hannover.de).

The first 20% of the full text of this article appears below.

The ideal strategy for pulmonary graft preservation remains elusive. Bronchial complications continue to occur after lung transplantation despite advances in operative technique and organ preservation. Airway ischemia of the graft may lead to tissue necrosis, resulting in bronchomalacia, formation of granulation tissue with subsequent strictures, or bronchial dehiscence followed by life-threatening subsequent vascular erosion.1,2 Anatomically, a dual blood supply to the lung consisting of the pulmonary and the bronchial artery systems is provided. During lung graft retrieval, the bronchoarterial system is not preserved selectively and is inevitably interrupted. Although revascularization of the bronchial artery circulation during transplantation has been shown to be beneficial for airway healing in certain patient populations,3 this concept has not been widely accepted in bilateral sequential lung transplantation. Reestablishment of blood flow in the bronchial arteries is technically demanding and has led to inconsistent results. Most centers therefore omit revascularization of the bronchial arteries for . . . [Full Text of this Article]






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