Repair of Tracheal Dehiscence After Heart-Lung Transplant Complicated by SARS-CoV-2 Infection

Airway complications are a major cause of morbidity after thoracic transplantation. Airway ischemia, necrosis, and tracheobronchial anastomotic dehiscence are associated with early mortality. We describe a case of tracheal anastomotic dehiscence after en bloc heart-lung transplant complicated by sev...

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Detalles Bibliográficos
Autores principales: Muñoz-Largacha, Juan A., Donahue, James M., Kaleekal, Thomas, Rusanov, Victoria, Myers, René P., Hoopes, Charles W., Orozco-Hernández, Erik J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier Inc. on behalf of The Society of Thoracic Surgeons. 2023
Materias:
Transplant & Mechanical Support
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946779/
https://www.ncbi.nlm.nih.gov/pubmed/36852006
http://dx.doi.org/10.1016/j.atssr.2023.02.007
Descripción
Sumario:Airway complications are a major cause of morbidity after thoracic transplantation. Airway ischemia, necrosis, and tracheobronchial anastomotic dehiscence are associated with early mortality. We describe a case of tracheal anastomotic dehiscence after en bloc heart-lung transplant complicated by severe acute respiratory syndrome coronavirus 2 infection. Timely surgical management and reconstruction with a bovine pericardial patch and double muscle flap were performed. After 8 months of follow-up, there are no airway complications and normalized allograft function.

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