Perioperative airway management strategy and posttransplant successful tracheal resection and reconstruction in a heart transplant candidate with post-intubation stenosis

Thorac Cardiovasc Surg. 2012 Jun;60(4):295-8. doi: 10.1055/s-0030-1271014. Epub 2011 Apr 21.

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.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / adverse effects
  • Adult
  • Anastomosis, Surgical
  • Bronchoscopy
  • Heart Failure / surgery*
  • Heart Transplantation*
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Intubation, Intratracheal / adverse effects*
  • Male
  • Reoperation
  • Tomography, X-Ray Computed
  • Tracheal Stenosis / diagnosis
  • Tracheal Stenosis / etiology
  • Tracheal Stenosis / surgery*
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Immunosuppressive Agents