AI Article Synopsis
- An 80-year-old female patient experienced a longitudinal rupture of the trachea during a three-stage esophagectomy, caused by a double-lumen endotracheal tube.
- The rupture was successfully repaired using a pericardial patch and a muscle flap, along with BioGlue to secure the patch.
- After 25 days in the ICU and 83 days total in the hospital due to other complications, there were no issues with the tracheal repair, and follow-up showed a healthy tracheal lumen.
Article Abstract
An iatrogenic, longitudinal rupture of the membranous trachea, which extended from the thoracic inlet to 2.0 cm above the carina, was found intra-operatively, during the thoracic stage of a three-stage esophagectomy, in a female, 80-year-old patient. Tracheal rupture was the result of tracheal intubation with a 35-F double-lumen endotracheal tube. Tracheal rupture was successfully repaired by suturing a free pericardial patch at the edges of tracheal rupture, by application of BioGlue on the external patch surface and by covering tracheal repair with a pedicled serratus anterior muscle flap. The patient had a 25-day intensive care unit stay and video-bronchoscopy performed at the 25th postoperative day showed absence of granulation tissue formation and an acceptable tracheal lumen. The overall hospital stay was 83 days because of abdominal complications; no problems concerning the tracheal repair were observed during the prolonged postoperative period.
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| http://dx.doi.org/10.1016/S1569-9293(03)00142-7 | DOI Listing |
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