Diagnosis and Treatment of Airway Complication After Heart-lung Transplantation
- VernacularTitle:心肺移植术后气道并发症的诊治
- Author:
Jianming LI
;
Jianguo HU
;
Xinmin ZHOU
- Publication Type:Journal Article
- Keywords:
Heart-lung transplantation;
Airway complication;
Airway anastomosis stenosis;
Diagnosis;
Treatment
- From:
Journal of Chinese Physician
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To sum up the diagnosis and treatment of airway complication after heart-lung transplantation. Methods One patient who occurred dyspnea, cough and wheeze at the 200th day after heart-lung transplantation, was diagnosed suffering from anastomosis stenosis. Comprehensive multimodality approach such as rigid bronchoscopic debridement and laser photoresection were performed. Eventually, this case was surgically managed with sleeve resection of stenotic bronchial segment. Results Surgical operation by sleeve resection of stenotic segment was successful, and the patient's symptoms disappeared. Till now the patient has been living more than 14 months after transplant, and CT scanning and fibrous bronchoscopy examination showed that the anastomasis healed well. Conclusion Airway complication's early recognition and proper management could improve the patients symptoms and survival rate.
