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Thorac Cardiovasc Surg Rep 2016; 05(01): 8-12
DOI: 10.1055/s-0035-1570376
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Management of Postintubational Tracheal Injury by Endoscopic Stent Placement: Case Report and Review of the Literature

Christian Geltner
1   Department of Pulmonology, Klinikum Klagenfurt, Klagenfurt, Austria
,
Rudolf Likar
2   Anesthesia and Intensive Care, Klinikum Klagenfurt, Klagenfurt, Austria
,
Klaus Hausegger
3   Department of Radiology, Klinikum Klagenfurt, Klagenfurt, Austria
,
Markus Rauter
1   Department of Pulmonology, Klinikum Klagenfurt, Klagenfurt, Austria
› Author Affiliations
Further Information

Publication History

28 July 2015

16 November 2015

Publication Date:
05 January 2016 (online)

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Abstract

Endobronchial stent placement is a novel therapy for treatment of iatrogenic tracheal tears. A review of the available literature shows surgery and long-term intubation being the established treatment strategy.

We describe the case of a 64-year-old woman with a tracheal rupture following endotracheal intubation for routine surgery. Pneumo-mediastinum and chest pain were the predominant symptoms. She was treated with a covered self-expandable metal stent that closed the tear and led to immediate symptom relief. After six weeks and complete healing of the trachea, the stent could be explanted. No stent complications occurred. A new algorithm for the treatment of these ruptures has been proposed.

Keywords

bronchial disease - tracheal injury - stent - anesthesia - benign lesion
 

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