Pericardial patch tracheoplasty for the repair of a long, multisegmental postintubation tracheal damage.
Title | Pericardial patch tracheoplasty for the repair of a long, multisegmental postintubation tracheal damage. |
Publication Type | Journal Article |
Year of Publication | 2012 |
Authors | Foroulis, C. N., Karapanagiotidis G., & Papakonstantinou C. |
Journal | Artif Organs |
Volume | 36 |
Issue | 9 |
Pagination | 835-9 |
Date Published | 2012 Sep |
ISSN | 1525-1594 |
Keywords | Humans, Male, Middle Aged, Pericardium, Reconstructive Surgical Procedures, Trachea, Tracheal Stenosis, Tracheotomy |
Abstract | A 64-year-old man was admitted with a postintubation, multisegmental tracheal damage comprising of two stenotic lesions, below and above a tracheotomy. The patient underwent resection of the damaged anterolateral tracheal wall through a combined collar-cuff and median sternotomy incision and tracheoplasty with autologous pericardium around a Silastic T-tube that was fixed to the cricoid cartilage, healthy distal trachea, and the remaining membranous wall. The postoperative period was complicated with a deep sternal wound infection that was successfully treated with vacuum-assisted closure for 2 weeks. Removal of the T-tube 9 months later resulted in a patent and well-functioning airway. Pericardial patch tracheoplasty and T-tube stenting of the repair for several months is a good alternative to extended tracheal resection for the treatment of the rare long, postintubation multisegmental tracheal damage. The pericardial patch is highly resistant to infection and allows the formation of a neotrachea. |
DOI | 10.1111/j.1525-1594.2011.01435.x |
Alternate Journal | Artif Organs |
PubMed ID | 22428774 |