The patient was a 16-year-old girl with a diagnosis of cystic fibrosis, with pancreatic insufficiency and diabetes. She was listed for lung transplant and she underwent a bilateral lung transplant.
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Congratulations, great operation! I have the following questions.
1. Is median sternotomy always your go-to approach, especially in a septic lung disease with the potential for adhesions. Are you able to predict when to use a clamp-shell approach?
2. Do you irrigate the airways before the bronchial anastomosis