Successful use of self-expandable metal stents in a case of iatrogenic tracheal rupture

Successful use of self-expandable metal stents in a case of iatrogenic tracheal rupture

Blog Article

As an alternative treatment to immediate surgical repair, endotracheal stent placement has been recently proposed in cases of iatrogenic tracheal damages.We report a case of a 91-year-old Optimization of Communication Schemes for DMA-Controlled Accelerators male who developed sudden subcutaneous emphysema during a total laryngectomy for laryngeal carcinoma.A tracheal tear at the distal third of the posterior tracheal wall was endoscopically assessed about 2 cm above the carina; CT confirmed the breach approximately 4 cm in length with associated pneumomediastinum and bilateral pneumothorax.Two covered self-expandable metal stents were then coaxially released under fluoroscopic control to cover the defect, restoring the tracheal integrity and leading to a normal thoracic appearance at CT and X-ray after 72 hours.

Keywords: Iatrogenic tracheal rupture, Life Above, Rubble Below Pneumomediastinum, Self-expandable metal stent.