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

M. U. Ergenoglu; S. Ercan; H. Yerebakan; E. Pektok; S. Kucukaksu

doi:10.1055/s-0030-1271014

The Thoracic and Cardiovascular Surgeon, Table of Contents

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

Authors

M. U. Ergenoglu

¹Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey
S. Ercan

²Department of Thoracic Surgery, Yeditepe University Hospital, Istanbul, Turkey
H. Yerebakan

¹Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey
E. Pektok

¹Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey
S. Kucukaksu

¹Department of Cardiovascular Surgery, Yeditepe University Hospital, Istanbul, Turkey

Abstract

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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.

Key words

heart - trachea - post-intubation tracheal stenosis - heart transplantation

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References

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