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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1998 August;39(4):511-3

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Bronchial ­wall schwan­no­ma ­removed by ­sleeve resec­tion of ­the ­right ­stem bron­chus with­out ­lung resec­tion

Tsukada H., Osada H., Kojima K., Yamate N.

From ­the Department of Surgery, Division ­III, St. Marianna University School of Medicine, Kanagawa-Ken, Japan


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A 28-­year-­old ­man pre­sent­ed ­with a bron­chi­al ­wall schwan­no­ma occur­ring in ­the ­right ­main to ­the inter­me­di­ate bron­chus. The ­tumor ­was resect­ed en-­bloc ­with ­the ­stem bron­chi with­out pul­mo­nary resec­tion. Airway recon­struc­tion con­sist­ed of an ­end-to-­end anas­tom­o­sis of ­the inter­me­di­us bron­chus to ­the ­right ­main bron­chus, ­and an ­end-to-­side anas­tom­o­sis of ­the ­right ­upper ­lobe bron­chus to ­the lat­er­al ­wall of ­the tra­chea. Postoperative ­course ­was unev­et­ful. Bronchoplastic pro­ce­dure ­with pres­er­va­tion of ­the ­lung paren­chy­ma ­seems to be ­the tech­nique of ­choice ­for ­benign ­tumors occur­ring intra­mu­ral­ly in ­the ­stem bron­chus.

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