Proximal Left Main Bronchus Resection–Reconstruction through Left Thoracotomy with Tracheal Traction

2017 ◽  
Vol 66 (02) ◽  
pp. 174-176
Author(s):  
Naoko Imanishi ◽  
Masaru Takenaka ◽  
Ayako Hirai ◽  
Fumihiro Tanaka
Keyword(s):  
Surgical Approach ◽  
Main Bronchus ◽  
Median Sternotomy ◽  
Left Main Bronchus ◽  
Left Main ◽  
Left Thoracotomy ◽  
Right Thoracotomy

AbstractSurgical approach for resection–reconstruction of the proximal left main bronchus has been a matter of discussion. Through standard left thoracotomy, the proximal main bronchus close to the carina is not easily exposed. Accordingly, median sternotomy or right thoracotomy may be commonly employed, but the exposure and management of the distal left main bronchus may be difficult through the approach. Here, we present a left thoracotomy approach with traction of the trachea, which may easily allow excellent exposure of the proximal end of the left main bronchus and the carina.

scholarly journals Right-Sided Approach for Segmental Resection of the Left Main Bronchus—Technical Considerations

2020 ◽  
Vol 15 (3) ◽  
pp. 279-282
Author(s):  
Veronika Kroepfl ◽  
Caecilia Ng ◽  
Herbert Maier ◽  
Paolo Lucciarini ◽  
Stefan Scheidl ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Segmental Resection ◽  
Left Main ◽  
Typical Carcinoid ◽  
Bronchial System ◽  
Left Main Stem Bronchus ◽  
The Right ◽  
Resection And Anastomosis

Carcinoids of the left main bronchus are rare tumors of the bronchial system and patients often present with dyspnea, asthma-like symptoms, and pneumonia. Gold standard for therapy of carcinoids is surgical resection, but the surgical approach for segmental resection and anastomosis of the left main bronchus is a matter of discussion. With a left-sided approach the access to the bronchus is blocked by the aortic arch and the pulmonary vein. If a right-sided approach is performed, the problem of ventilation during resection and anastomosis of the bronchus occurs. We present a surgical approach from the right side using intraoperative extracorporeal membrane oxygenation to assure oxygen supply for resection of a typical carcinoid of the left main stem bronchus, and discuss the current literature.

Catastrophic haemoptysis in the Fontan circulation – a novel surgical approach to denude the culprit bleeding vessels

2011 ◽  
Vol 21 (4) ◽  
pp. 462-464
Author(s):  
David E. Black ◽  
Gruschen R. Veldtman ◽  
Timothy Bryant ◽  
John Miller ◽  
Marcus Haw
Keyword(s):  
Aortic Valve ◽  
Left Ventricle ◽  
Surgical Approach ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Cardiac Catheterisation ◽  
Left Main ◽  
Massive Haemoptysis ◽  
Lateral Thoracotomy ◽  
Double Inlet Left Ventricle

AbstractWe describe the case of a young man aged 19 years with a double inlet left ventricle associated with transposition of the great arteries, and a mechanical aortic valve requiring anticoagulation, who presented with massive haemoptysis. At cardiac catheterisation, there were multiple feeder vessels to a bleeding leash surrounding and communicating with his left main bronchus. Despite occlusion of the larger feeder vessels, he continued to have massive haemoptysis. We describe a novel surgical strategy of denuding the peribronchial vessels through a left lateral thoracotomy. This successfully stopped his bleeding.

scholarly journals Left main bronchial sleeve resection with total lung parenchymal preservation: a tailored surgical approach

2019 ◽  
Author(s):  
Sara Mantovani ◽  
Lucile Gust ◽  
Xavier Benoit D’Journo ◽  
Pascal Alexandre Thomas
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Main Bronchus ◽  
Lung Parenchyma ◽  
Left Main Bronchus ◽  
Sleeve Resection ◽  
Posterolateral Thoracotomy ◽  
Left Main ◽  
Bronchial Anastomosis ◽  
Clamshell Incision

Abstract Bronchial sleeve resection is an uncommon thoracic surgical procedure. Under specific conditions, patients can be selected to undergo a sleeve resection of the main bronchus with complete parenchymal preservation. The left main bronchus is longer than the contralateral bronchus, therefore left endobronchial tumours can be localized at the proximal end of the bronchus or distally, near the secondary carina. Bronchial anastomosis in these 2 situations requires different approaches. We present the surgical technique of left main bronchus resection with complete preservation of lung parenchyma through a hemi-clamshell incision (proximal tumour) or posterolateral thoracotomy (distal tumour).

scholarly journals MITRAL INSUFFICIENCY WITH COMPRESSION OF THE LEFT MAIN BRONCHUS TREATED BY OPEN-HEART SURGERY

1959 ◽  
Vol 37 (3) ◽  
pp. 320-324
Author(s):  
David R. Murphy ◽  
Anthony R.C. Dobell ◽  
Gordon M. Karn ◽  
James E. Gibbons
Keyword(s):  
Heart Surgery ◽  
Main Bronchus ◽  
Open Heart Surgery ◽  
Left Main Bronchus ◽  
Mitral Insufficiency ◽  
Open Heart ◽  
Left Main

scholarly journals METALLIC FOREIGN BODY IN LEFT MAIN BRONCHUS (A Case Report)

1994 ◽  
Vol 50 (2) ◽  
pp. 147-148
Author(s):  
KV SURYANARAYANA ◽  
PC CHAMYAL ◽  
MR WAGHRAY
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Metallic Foreign Body ◽  
Left Main

scholarly journals Bronchial glomus tumor mimicking a COPD exacerbation

2015 ◽  
Vol 75 (3) ◽  
Author(s):  
F. Ravenna ◽  
S. Saturni ◽  
A. Casalini ◽  
F.P. Pilato ◽  
C. Pasquini ◽  
...  
Keyword(s):  
Clinical Features ◽  
Glomus Tumor ◽  
Histopathological Examination ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Copd Exacerbation ◽  
Left Main ◽  
Tumor Excision ◽  
Rare Neoplasm

We report the case of a glomus tumor originating in the left main bronchus diagnosed in a 79 year old Caucasian man. A glomus tumor is an extremely rare neoplasm in the bronchi with nonspecific clinical features. Bronchoscopy allows the diagnosis through biopsy and subsequent histopathological examination of the tissue and in selected cases may represent a valid alternative to surgery permitting a radical tumor excision.

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