Abstract
We report a case of tracheal obstruction caused by an expandable metallic stent. A 3-month-old girl with severe tracheomalacia had a placement of a Palmaz stent. At 3 years of age, she developed progressive dyspnea. The CT scan showed tracheal obstruction caused by granulation tissue over the stent. At operation, the stent was found to have penetrated the posterior tracheal wall. Under partial cardiopulmonary bypass, the stent was removed along with the membranous wall of the trachea, and the trachea was reconstructed using slide tracheoplasty. Tracheal obstruction is one of the serious complications caused by an expandable metallic stent. Direct open approach to the trachea under cardiopulmonary bypass is thought to be a safe way to manage this problem.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Filler RM, Forte V, Fraga JC et al (1995) The use of expandable metallic airway stents for tracheobronchial obstruction in children. J Pediatr Surg 30:1050–1056
Tazuke Y, Kawahara H, Yagi M et al (1999) Use of a Palmaz stent for tracheomalacia: case report of an infant with esophageal atresia. J Pediatr Surg 34:1291–1293
Maeda K, Yasufuku M, Yamamoto T et al (2001) A new approach to the treatment of congenital tracheal stenosis: balloon tracheoplasty and expandable metallic stenting. J Pediatr Surg 36:1646–1649
Alfaro J, Varela G, De-Miguel E et al (1993) Successful management of a tracheo-innominate artery fistula following placement of a wire self-expandable tracheal Gianturco stent. Eur J Cardiothorac Surg 7:615–616
Cook CH, Bhattacharyya N, King DR (1998) Aortobronchial fistula after expandable metal stent insertion for pediatric bronchomalacia. J Pediatr Surg 33:1306–1308
Davis S, Jones M, Kisling J, Angelicchio C, Tepper RS (1998) Effect of continuous positive airway pressure on forced expiratory flows in infants with tracheomalacia. Am J Respir Crit Care Med 158:148–152
Abdel-Rahman U, Ahrens P, Fieguth HG, Kitz R, Heller Klaus, Moritz A (2002) Surgical treatment of tracheomalacia by bronchoscopic monitored aortopexy in infants and children. Ann Thorac Surg 74:315–319
Filler RM, Forte V, Chait P (1998) tracheobronchial stenting for the treatment of airway obstruction. J Pediatr Surg 33:304–311
Corno A, Giamberti A, Giannico S, Marino B, Rossi E, Marcelletti C, Kirklin JK (1990) Airway obstruction associated with congenital heart disease in infancy. J Thorac Cardiovasc Surg 99:1091–1098
Furman RH, Backer CL, Dunham ME et al (1999) the use of balloon-expandable metallic stents in the treatment of pediatric tracheomalacia and bronchomalacia. Arch Otolaryngol Head Neck Surg 125:203–207
Miyamoto T, Ishida R, Noma M et al (2001) Successful surgical management of a tracheopulmonary artery fistula caused by an intratracheal expandable metal stent. Jpn J Thorac Cardiovasc Surg 49:632–634
Kao SC, Chang WK, Pong MW, Cheng KW, Chan KH, Tsai SK (2003) Welded tracheal stent removal in a child under cardiopulmonary bypass. Br J Anaesth 91:294–296
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Okuyama, H., Kubota, A., Kawahara, H. et al. Tracheal obstruction caused by an expandable metallic stent: a case of successful removal of the stent. Ped Surgery Int 21, 573–575 (2005). https://doi.org/10.1007/s00383-005-1475-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-005-1475-9