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J Thorac Cardiovasc Surg 2007;134:1362-1363
© 2007 The American Association for Thoracic Surgery

Brief Communication

Fracture of silicone tracheal T-tube: A rare complication

Iwao Takanami, MD*, Tomohiro Abiko, MD, Hideko Kurihara, MD

Department of Surgery, Teikyo School of Medicine, Tokyo, Japan.

Received for publication November 22, 2006; revisions received December 21, 2006; accepted for publication January 5, 2007.

* Address for reprints: Iwao Takanami, MD, Department of Surgery, Teikyo School of Medicine, 2-11 Kaga 2-Chome, Itabashi-Ku, Tokyo, 173 Japan. (Email: takanami@med.teikyo-u.ac.jp).

The first 20% of the full text of this article appears below.

Silicone tracheal T-tubes can be used as satisfactory stents, with little or no tissue reaction and providing sufficient support to the stenotic segment of the trachea. Fractures in silicone T-tube are uncommon. Here, we describe a silicone tracheal T-tube fracture as a very uncommon complication in a patient with tracheal stenosis after a tracheostomy.

Clinical Summary

A 70-year-old man underwent a pancreaticoduodenectomy and an anterior resection of the rectum for the simultaneous treatment of an intraductal papillary neoplasm of the pancreas and a rectal carcinoma. After the operation, the patient had respiratory failure requiring a tracheostomy followed by 3 months of mechanical ventilation. The patient was referred to our department because of difficulty in removing the tracheostomy tube. Examination with a flexible bronchoscope showed a tracheostomal stenosis of the anterior wall above the tracheostomy with granulation at the site. The tracheal stenosis was located 0.7 cm below the vocal cords and its length was 2.1 cm. The patient underwent fiberoptic bronchoscopic dilation. A 10-mm T-tube (Koken Laboratories, Tokyo, Japan; proximal portion of the . . . [Full Text of this Article]






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