Abstract
Long-segment stenotic tracheal rings represent a rare but life-threatening cause of respiratory distress. Surgery may be required in an emergency setting, using established techniques and repair materials. In an adult with long-segment tracheal stenosis whose extent was underestimated by conventional diagnostic workup, standard repair materials were unavailable in emergency setting. This case report illustrates a usual surgical technique in a bail out situation, using autologous Pericardium to patch a large tracheal defect. Although several techniques have been described for the treatment of tracheal stenosis, including slide tracheoplasty, tracheal autograft and rib cartilage grafting, here we used a pedicled pericardial patch. The purpose of this case report is to augment pericardial tracheoplasty.
References
Cosentino CM, Backer CL, Idriss FS, Holinger LD, Gerson CR, Mavroudis C. Pericardial patch tracheoplasty for severe tracheal stenosis in children: intermediate results. J Pediatr Surg. 1991;26:879–84.
Dodge-Khatami A, Tsang VT, Roebuck DJ, Elliott MJ. Management of congenital tracheal stenosis: a multidisciplinary approach. Images Paediatr Cardiol. 2000;2:30–40.
Bryant LR, Eiseman B. Replacement of tracheobronchial defects with autogenous pericardium. J Thorac Cardiovasc Surg. 1964;48:733–40.
Tsang VT, Murday A, Gilbe C, Goldstraw P. Slide tracheoplasty for long-segment tracheal stenosis. Ann Thorac Surg. 1989;48:632–5.
Backer CL, Mavroudis C, Dunham ME, Holinger L. Repair of congenital tracheal stenosis with a free tracheal autograft. J Thorac Cardiovasc Surg. 1998;115:869–74.
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Sherawat, R.C., Sharma, A., Dixit, S. et al. Pedicled pericardial patch tracheoplasty as a last-resort repair for acquired and recurrent long-segment tracheal stenosis through resternotomy without CPB. Indian J Thorac Cardiovasc Surg 31, 249–252 (2015). https://doi.org/10.1007/s12055-015-0365-6
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DOI: https://doi.org/10.1007/s12055-015-0365-6