Successful Bronchial Replacement Using a Thoracodorsal Artery Perforator Flap

Pascal Berna (1, 2) , Benedicte Toublanc (3) , Alex Fourdrain (1)

1 CHU Amiens-Picardie
2 SSPC - Simplification des soins chez les patients complexes - UR UPJV 7518
3 MP3CV - Mécanismes physiopathologiques et conséquences des calcifications vasculaires - UR UPJV 7517

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. (C) 2018 by The Society of Thoracic Surgeons

Domaines: Sciences du Vivant [q-bio]

Pascal Berna, Benedicte Toublanc, Alex Fourdrain. Successful Bronchial Replacement Using a Thoracodorsal Artery Perforator Flap. Annals of Thoracic Surgery, 2018, 106 (3), pp.E129-E131. ⟨10.1016/j.athoracsur.2018.01.056⟩. ⟨hal-03596627⟩