Revisiting En Bloc Double Lung Transplantation With Direct Bronchial Artery Revascularization And Tracheal Anastomosis

Early morbidity and mortality after lung transplantation is frequently related to airway anastomotic complications. The anastomotic complications have been attributed to the lack of blood flow to the donor tracheobronchial tree in the first few hours to days after the transplantation. The establishment of systemic circulation to the airway anastomosis via bronchial artery revascularization has been shown to minimize the anastomotic complications and may also postpone the incidence of bronchiolitis obliterans syndrome. We report a case of successful bronchial artery revascularization with tracheal anastomosis in en bloc double lung transplantation.