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J Thorac Cardiovasc Surg 2002;124:837-838
© 2002 The American Association for Thoracic Surgery

Brief Communications

Videobronchoscope-assisted repair of the membranous tracheal laceration during insertion of a tracheostomy tube after tracheostomy

Shinichiro Okada, MD, Shotaro Ishimori, MD, Shunsuke Yamagata, MD, Shoichi Satoh, MD, Yoshiaki Tanaba, MD, Sadanori Yaegashi, MD Kamaishi, Japan

From the Department of Thoracic Surgery and Medicine, Kamaishi Municipal Hospital, Kamaishi, Iwate, Japan

Received for publication April 15, 2002. Accepted for publication April 29, 2002. Address for reprints: Shinichiro Okada, Department of Thoracic Surgery and Medicine, Kamaishi Municipal Hospital, 3-15-26, Ohwatari-cho, Kamaishi, Iwate, 026-0025 Japan (E-mail: shin575@opal.famille.ne.jp).

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  		Satoh, Ishimori, Okada, and Yamagata (left to right)

 
Iatrogenic lacerations of the trachea rarely occur and result from orotracheal intubation, tracheal stenting, or surgical procedures, such as transhiatal esophagectomy.Go Go 1-5 Early recognition and immediate management are essential because tracheal lacerations are potentially life threatening. The conventional way of treating tracheal lacerations has been to carry out a direct suture or patch repair through a cervical incision or a right thoracotomy.

We report a case of videobronchoscope-assisted repair of a membranous tracheal laceration caused by insertion of a tracheostomy tube after tracheostomy, without the need for a traditional thoracotomy.

Clinical summary

A 78-year-old woman with olivopontocerebellar atrophy was admitted for evaluation of respiratory distress. The patient had frequent episodes of difficulty in sputum expectoration, and she was scheduled for a tracheostomy. After achievement of local anesthesia, an open tracheostomy was performed at the level of the third and fourth tracheal rings, and a tracheostomy tube (Argyll, ID7.5mm; Sherwood Medical, Tokyo, Japan) was inserted into the trachea. Respiratory and circulatory conditions, such as blood pressure . . . [Full Text of this Article]




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