Simplified Carinal Wedge Resection and Reconstruction

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Simplified Carinal Wedge Resection and Reconstruction Dong Xie, MD, Jiaan Ding, MD, Xiao Zhou, MD, Ke Fei, MD, Xiaofang You, MD, Gening Jiang, MD The Annals of Thoracic Surgery Volume 98, Issue 2, Pages 731-733 (August 2014) DOI: 10.1016/j.athoracsur.2013.12.055 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative radiology and bronchoscopy. (A) A chest computed tomography scan demonstrated a cranial nodule (arrow) at the tip of the carina. (B) A flexible bronchoscopy showed a neoplasm at the carina. The Annals of Thoracic Surgery 2014 98, 731-733DOI: (10.1016/j.athoracsur.2013.12.055) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A schematic diagram of the carinal wedge resection and reconstruction. (A) The carina was wedge transected at the dotted lines. The medial walls of (B) left and (C) right main bronchus were sutured together to create a “neocarina.” The Annals of Thoracic Surgery 2014 98, 731-733DOI: (10.1016/j.athoracsur.2013.12.055) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative bronchoscopy. Follow-up bronchoscopy showed that the anastomosis was intact. The Annals of Thoracic Surgery 2014 98, 731-733DOI: (10.1016/j.athoracsur.2013.12.055) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions