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Evaluation of Emergency Endobronchial Stents Placement in Serious Main Bronchial Stenosis Following High-risk Orthotopic Heart Allotransplantation
Zhao Yongxiang 1 *,Zhao Lingling 2,Yi Bo 3,Shan Zhonggui 4,Fan Qinming 4,Ke Mingyao 4,Liao Chongxian 4,Ye Qifa 2,Huang Zufa 2,Zhu Yue 5
1.The National Ministry of Health Engineering and Technical Reseach Center on Transplantation, The Third Xiangya Hospital, Central South University
2.The Third Xiangya Hospital, Central South University
3.The National Ministry of Health Engineering and Technical Reseach Center on Transplantation- The Third Xiangya Hospital-Central South University
4.2The Affiliated Zhongshan Hospital, Xiamen University, Xiamen, Fujian
5.3Organ Transplantation Institute, University of Pittsburgh, 200 Lothrop Street C-700, Pittsburgh, PA 15213,USA
*Correspondence author
#Submitted by
Subject:
Funding: none
Opened online:26 May 2006
Accepted by: none
Citation: Zhao Yongxiang,Zhao Lingling,Yi Bo.Evaluation of Emergency Endobronchial Stents Placement in Serious Main Bronchial Stenosis Following High-risk Orthotopic Heart Allotransplantation[OL]. [26 May 2006] http://en.paper.edu.cn/en_releasepaper/content/6814
 
 
Objective: To investigate the curative effect of emergency stent placement for left main bronchial malacia, stenosis and collapse after orthotopic heart allotransplantation. Methods: To evaluate the risk and efficacy of treatment of bronchus stent placement after orthotopic heart allotransplantation in one dilated cardiomyopathy patient complicated with left main bronchial malacia, stenosis and collapse resulting in left pulmonary ventilation dysfunction, and other multi-diseases, such as severe pulmonary artery hypertension and mixed(mainly central) sleep apnea syndrome. Results: After treatment of stent placement, patient was relieved from left pulmonary ventilation dysfunction with obviously improved hypercapnia, hypoxemia, pulmonary hypertension and the function of transplanting heart recovered. Conclusions: Emergency treatment with stent placement for bronchial malacia, stenosis and collapse occurring after orthotopic heart allotransplantation could improve ventilation dysfunction caused by bronchial malacia and stenosis, and increase the survival rate of heart transplantation.
Keywords:orthotopic cardiac transplantation, bronchial malacia, stenosis, stent
 
 
 

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