Thorac Cardiovasc Surg 2012; 60(04): 295-298
DOI: 10.1055/s-0030-1271014
Case Reports
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Perioperative Airway Management Strategy and Posttransplant Successful Tracheal Resection and Reconstruction in a Heart Transplant Candidate with Post-intubation Stenosis

M. U. Ergenoglu
1  Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey
,
S. Ercan
2  Department of Thoracic Surgery, Yeditepe University Hospital, Istanbul, Turkey
,
H. Yerebakan
1  Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey
,
E. Pektok
1  Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey
,
S. Kucukaksu
1  Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey
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Publikationsverlauf

06. Januar 2011
21. Februar 2011

01. März 2011

Publikationsdatum:
21. April 2011 (online)

Abstract

Post-intubation tracheal stenosis (PTS) is an important clinical situation. It is estimated to occur in approximately 5% to 20% of intubated or tracheostomized patients. PTS most commonly occurs after prolonged intubation, and the treatment options have been well discussed in the literature. However, in solid organ transplantation, the necessity of administering high doses of corticosteroids as well as immunosuppressive therapies may compromise the healing processes following tracheal resection and reconstruction, requiring different treatment strategies for simultaneous PTS. We present a patient suffering from end-stage heart failure and post-intubation tracheal stenosis along with our treatment strategy.