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Diagnostic and Therapeutic Endoscopy
Volume 6, Issue 4, Pages 183-188
http://dx.doi.org/10.1155/DTE.6.183
Case Report

Successful Treatment of Bronchial Dehiscence With Endobronchial Stent in Lung Transplantation

1Department of Thoracic Surgery, Niguarda Ca' Granda Hospital, Milan, Italy
2Department of Neuroradiology, Niguarda Ca' Granda Hospital, Milan, Italy
3A. De Gasperis Center, Department of Thoracic Surgery, Niguarda Ca' Granda Hospital, P. zza Ospedale Maggiore, Milan 3-20162, Italy

Received 16 July 1999; Revised 26 October 1999; Accepted 18 January 2000

Copyright © 2000 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Bronchial dehiscence in lung transplantation is still a significant and threatening cause of morbidity, even if several progresses have been made in this field. In the present report we discuss a case of incomplete dehiscence of the right bronchial anastomosis in a patient who underwent sequential double lung transplantation for bronchiectasis. This complication has been successfully treated with endobronchial stent positioning, with the aim to allow the healing of the anastomosis around a rigid endobronchial support and to prevent the airway stenosis. The usefulness of 3D spiral CT reconstruction of bronchial tree is also underlined, for its capacity to detect the dehiscence and to monitor the healing of this complication.