• Ann. Thorac. Surg. · Feb 2015

    Case Reports

    Does hyperbaric oxygen therapy prevent airway anastomosis from breakdown?

    • Chris Dickhoff, Johannes M A Daniels, Ad van den Brink, Marinus A Paul, and Ad F T M Verhagen.
    • Department of Cardiothoracic Surgery, VU University Medical Centre, Amsterdam; Department of Surgery, VU University Medical Centre, Amsterdam. Electronic address: chrisdickhoff@vumc.nl.
    • Ann. Thorac. Surg. 2015 Feb 1;99(2):682-5.

    AbstractIschemia with subsequent necrosis of anastomoses, after central airway resection and reconstruction, remains a feared complication for thoracic surgeons and their patients. To date, there is no evidence to support the use of hyperbaric oxygen in the prevention of necrosis of airway reconstructions in humans. We present a patient who underwent central airway surgery with postoperative ischemia of an end-to-side anastomosis. Repeat visit to a hyperbaric oxygen chamber seemed to prevent the anastomosis from subsequent necrosis and dehiscence with complete healing as a result. In conclusion, hyperbaric oxygen treatment can be considered when ischemia or necrosis is observed in central airway anastomoses during postoperative bronchoscopic surveillance.Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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