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      Pericardial patch tracheoplasty for the repair of a long, multisegmental postintubation tracheal damage.

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          Abstract

          A 64-year-old man was admitted with a postintubation, multisegmental tracheal damage comprising of two stenotic lesions, below and above a tracheotomy. The patient underwent resection of the damaged anterolateral tracheal wall through a combined collar-cuff and median sternotomy incision and tracheoplasty with autologous pericardium around a Silastic T-tube that was fixed to the cricoid cartilage, healthy distal trachea, and the remaining membranous wall. The postoperative period was complicated with a deep sternal wound infection that was successfully treated with vacuum-assisted closure for 2 weeks. Removal of the T-tube 9 months later resulted in a patent and well-functioning airway. Pericardial patch tracheoplasty and T-tube stenting of the repair for several months is a good alternative to extended tracheal resection for the treatment of the rare long, postintubation multisegmental tracheal damage. The pericardial patch is highly resistant to infection and allows the formation of a neotrachea.

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          Author and article information

          Journal
          Artif Organs
          Artificial organs
          Wiley
          1525-1594
          0160-564X
          Sep 2012
          : 36
          : 9
          Affiliations
          [1 ] Aristotle University of Thessaloniki Medical School, AHEPA University Hospital, Department of Thoracic and Cardiovascular Surgery, Thessaloniki, Greece. cforoulis@otenet.gr
          Article
          10.1111/j.1525-1594.2011.01435.x
          22428774

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