Progressive Stenosis of Both Main Bronchi Associated With Recurrent Infections of a Carinal Pouch Thomas Schweiger, MD, PhD, Konrad Hoetzenecker, MD,

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Progressive Stenosis of Both Main Bronchi Associated With Recurrent Infections of a Carinal Pouch Thomas Schweiger, MD, PhD, Konrad Hoetzenecker, MD, PhD, Helmut Prosch, MD, Martin Hackl, MD, Berta Oszvath, György Lang, MD, PhD, Walter Klepetko, MD The Annals of Thoracic Surgery Volume 105, Issue 1, Pages e1-e3 (January 2018) DOI: 10.1016/j.athoracsur.2017.07.037 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperative bronchoscopy shows bilateral narrowing of the left main bronchus (LMB) and right main bronchus (RMB). (B) Operative field after the trachea and the LMB were cut. The carina (Car) is attached to the RMB. Aspect from distal on the surgical specimen shows the stenosis of the (C) LMB and (D) the RMB. The Annals of Thoracic Surgery 2018 105, e1-e3DOI: (10.1016/j.athoracsur.2017.07.037) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Three-dimensional reconstruction of the bilateral main bronchi stenosis (A) before carinal resection and (B) at the follow-up examination. The dashed lines indicate the resection margins. The Annals of Thoracic Surgery 2018 105, e1-e3DOI: (10.1016/j.athoracsur.2017.07.037) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Follow-up bronchoscopy 3 months after the operation. (A) Reconstruction of the carina with an end-to-end anastomosis of the right main bronchus (RMB) and the trachea (Tr). (B) The left main bronchus (LMB) was inserted end to side into to the intermediate bronchus (IMB). The dotted lines indicate healed anastomoses. The Annals of Thoracic Surgery 2018 105, e1-e3DOI: (10.1016/j.athoracsur.2017.07.037) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions