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Successful Bronchial Replacement Using a Thoracodorsal Artery Perforator Flap
Pascal Berna1, Bénédicte Toublanc1, Alex Fourdrain1
1Department of Thoracic Surgery, Amiens University Hospital, Amiens, France.
Abstract:
Pneumonectomy is known to be associated with a high rate of morbidity and mortality and may be contraindicated in patients with altered lung function. Sleeve lobectomy is a treatment option, but it may be technically impossible in cases of large bronchial involvement. Here, we describe a patient with impaired lung function and right upper lobe lung cancer that involved the intermediate bronchial trunk. The patient was treated successfully with a right upper sleeve lobectomy and bronchial replacement with the use of a thoracodorsal artery perforator flap and a temporary endostent. Clinical outcomes were favorable, and no recurrence has been observed in the 4 years since the operation.
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