Off-pump bilateral lung transplantation via median sternotomy: a novel approach with potential benefits.

Authors:
Omer Senbaklavaci
Omer Senbaklavaci
University of Vienna
Austria

Ann Thorac Surg 2019 Apr 17. Epub 2019 Apr 17.

Cardiothoracic Services, Freeman Hospital, Newcastle upon Tyne, United Kingdom. Electronic address:

The clamshell incision is worldwide the standard approach for bilateral lung transplantation. There is very limited experience with bilateral lung transplantation via median sternotomy so far and the use of cardiopulmonary bypass seems to be mandatory in all these cases accepting the potential disadvantages of the extracorporeal circulation. We describe a novel approach for bilateral lung transplantation as off-pump technique via median sternotomy which has the potential to combine the advantages of median sternotomy with less postoperative pain and better chest wall function and off-pump technique with reduced risk of primary graft dysfunction and bleeding complications.

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.055DOI Listing

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April 2019
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