Postoperative Ischemic Bronchitis After Lymph Node Dissection and Primary Lung Cancer Resection Lotfi Benhamed, MD, Jocelyn Bellier, MD, Clément Fournier,

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Postoperative Ischemic Bronchitis After Lymph Node Dissection and Primary Lung Cancer Resection Lotfi Benhamed, MD, Jocelyn Bellier, MD, Clément Fournier, MD, Rias Akkad, MD, Daniel Mathieu, MD, PhD, Eric Kipnis, MD, PhD, Henri Porte, MD, PhD The Annals of Thoracic Surgery Volume 91, Issue 2, Pages 355-359 (February 2011) DOI: 10.1016/j.athoracsur.2010.09.021 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) localization of ischemia on suture and homolateral bronchial tree after left upper lobectomy on postoperative day (POD) 8. (B) The lesion had improved by POD 16. (C) Ischemia of homolateral bronchial tree after sleeve right upper lobectomy on POD 7. (D) Improvement of lesions by POD 35. (E) Ischemia of right upper bronchial stump on POD 9. (F) Favorable evolution at POD 25. (G) and (H) Ischemia of carina after right upper lobectomy. The Annals of Thoracic Surgery 2011 91, 355-359DOI: (10.1016/j.athoracsur.2010.09.021) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Distribution of the patients according to the risk factors for bronchopleural fistula (BPF). The Annals of Thoracic Surgery 2011 91, 355-359DOI: (10.1016/j.athoracsur.2010.09.021) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) True ischemia: mucosal loss and fibrin deposit. (B) Necrosis: mucosal defect and ulceration. The Annals of Thoracic Surgery 2011 91, 355-359DOI: (10.1016/j.athoracsur.2010.09.021) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Severe necrosis of the right intermediate trunk after bilobectomy middle and lower lobes. (B) The lesion had resolved by postoperative day 35. (C) Ischemia of suture after right upper lobectomy. (D) Evolution toward necrosis. The Annals of Thoracic Surgery 2011 91, 355-359DOI: (10.1016/j.athoracsur.2010.09.021) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions