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Ann Thorac Surg. 2015 Feb;99(2):682-5. doi: 10.1016/j.athoracsur.2014.03.055.

Does hyperbaric oxygen therapy prevent airway anastomosis from breakdown?

Author information

1
Department of Cardiothoracic Surgery, VU University Medical Centre, Amsterdam; Department of Surgery, VU University Medical Centre, Amsterdam. Electronic address: chrisdickhoff@vumc.nl.
2
Department of Pulmonary Diseases, VU University Medical Centre, Amsterdam.
3
Department of Hyperbaric Medicine, Academic Medical Centre, Amsterdam.
4
Department of Cardiothoracic Surgery, VU University Medical Centre, Amsterdam.
5
Department of Cardiothoracic Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

Abstract

Ischemia 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.

[Indexed for MEDLINE]

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