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Tracheal reimplantation of the right upper lobe bronchus with sleeve main and intermedius bronchus resection and reconstruction  Carsten Schröder, MD,

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Presentation on theme: "Tracheal reimplantation of the right upper lobe bronchus with sleeve main and intermedius bronchus resection and reconstruction  Carsten Schröder, MD,"— Presentation transcript:

1 Tracheal reimplantation of the right upper lobe bronchus with sleeve main and intermedius bronchus resection and reconstruction  Carsten Schröder, MD, Bernd Vogel, MD, Jürgen Krause, MD, Paolo Macchiarini, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 121, Issue 2, Pages (February 2001) DOI: /mtc Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 CT scan showing the invagination of the head of the longitudinal bar into the proximal right main bronchus. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 Endoscopic view showing the head of the longitudinal bar invaginated into the membranous wall of the right main bronchus shortly after its origin. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 Drawing showing the creation of the 1-cm2 oval orifice into the distal trachea, which allowed the reimplantation of the right upper lobe bronchus. This was made after resection of the entire membranous wall of the right bronchial system, reimplantation of the middle-lower lobe carina into the origin of the remnants of the right main bronchus, resection of the upper lobe takeoff, and completion of the posterior part of the great fissure. The view is from a right posterolateral thoracotomy. RUL, Right upper lobe; RML, right middle lobe; RLL, right lower lobe; LMB, left main bronchus; S6, sixth segment of the RLL. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

5 Fig. 4 Three months of postoperative endoscopy control, showing patent and well vascularized anastomoses. RML, Right middle lobe; RLL, right lower lobe; LMB, left main bronchus; RUL, right upper lobe. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

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