Skip to main content
Log in

Pedicled pericardial patch tracheoplasty as a last-resort repair for acquired and recurrent long-segment tracheal stenosis through resternotomy without CPB

  • Case report
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. 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.

    Article  CAS  PubMed  Google Scholar 

  2. Dodge-Khatami A, Tsang VT, Roebuck DJ, Elliott MJ. Management of congenital tracheal stenosis: a multidisciplinary approach. Images Paediatr Cardiol. 2000;2:30–40.

    Google Scholar 

  3. Bryant LR, Eiseman B. Replacement of tracheobronchial defects with autogenous pericardium. J Thorac Cardiovasc Surg. 1964;48:733–40.

    CAS  PubMed  Google Scholar 

  4. Tsang VT, Murday A, Gilbe C, Goldstraw P. Slide tracheoplasty for long-segment tracheal stenosis. Ann Thorac Surg. 1989;48:632–5.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ram Chandra Sherawat.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-015-0365-6

Keywords

Navigation