scholarly journals Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Shoko Hasegawa ◽  
Kenichiro Koda ◽  
Masashi Uzawa ◽  
Haruka Kimura ◽  
Rie Kimura ◽  
...  
Keyword(s):  
Airway Management ◽  
Tracheal Stenosis ◽  
Respiratory Symptoms ◽  
High Probability ◽  
Cardiovascular Surgery ◽  
Fiberoptic Bronchoscope ◽  
Congenital Tracheal Stenosis ◽  
Successful Intubation ◽  
Case Presentation ◽  
Combined Use

Abstract Background Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare. Case presentation A 51-year-old female was scheduled for cardiovascular surgery. She had undergone laparoscopic surgery 3 years earlier and was found to have a difficult airway. Postoperatively, she was diagnosed with CTS. For the current cardiovascular surgery, combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope allowed sufficient visualization of the glottis and trachea, resulting in successful intubation. Conclusions CTS patients have a high probability of difficult intubation. Our experience suggests the efficacy of combined use of a videolaryngoscope and fiberoptic bronchoscope for airway management in CTS patients.

scholarly journals Inverse T-shaped sternotomy as novel thoracoplasty for severe chest deformation and tracheal stenosis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hirofumi Tomita ◽  
Akihiro Shimotakahara ◽  
Naoki Shimojima ◽  
Hideo Ishihama ◽  
Miki Ishikawa ◽  
...  
Keyword(s):  
Intellectual Disabilities ◽  
Tracheal Stenosis ◽  
Respiratory Symptoms ◽  
Subacute Sclerosing Panencephalitis ◽  
Periventricular Leukomalacia ◽  
Stable Condition ◽  
Stage Iv ◽  
Brachiocephalic Artery ◽  
Case Presentation ◽  
Severe Motor

Abstract Background Patients with severe motor and intellectual disabilities often suffer from tracheal stenosis due to chest deformation and brachiocephalic artery compression, which sometimes leads to serious complications, such as dying spell and tracheobrachiocephalic artery fistula. We herein described our experience of performing a novel and simple thoracoplastic procedure combined with brachiocephalic artery transection in two patients with severe chest deformation and tracheal stenosis. Case presentation The patients were a 12-year-old female with cerebral palsy due to periventricular leukomalacia and a 21-year-old male with subacute sclerosing panencephalitis stage IV in the Jabbour classification following a laryngotracheal separation. Both patients showed severe chest deformation and symptoms of airway stenosis resulting in dying spells. The sternum was laterally transected between the manubrium and the sternal body, and a manubriotomy was performed longitudinally, ending with an inverse T-shaped sternotomy. Since the clavicle and the first rib remained attached to the halves of the divided manubrium, the sternum was allowed to be left open, resulting in improvement of the mediastinal narrowing and tracheal stenosis. Postoperative computed tomography (CT) showed that the distance between the halves of the manubrium was maintained at 10–11 mm, and that the mediastinal narrowing in both patients improved; the sternocervical spine distance increased from 20 mm to 22  and 13 mm to 16 mm, respectively. The patients’ tracheal stenosis below the sternal end of the clavicle and the manubrium and respiratory symptoms improved, and the patients are currently at home in a stable condition with no chest fragility and no upper limb movement disorder 1 year after surgery. Conclusions Our observations suggested that the inverse T-shaped sternotomy combined with brachiocephalic artery transection may relieve symptoms of tracheal stenosis due to severe chest deformation in patients with severe motor and intellectual disabilities.

High-frequency Jet Ventilation in the Management of Congenital Tracheal Stenosis

1988 ◽  
Vol 68 (6) ◽  
pp. 952-955 ◽  
Author(s):  
MICHAEL S. SCHUR ◽  
GERALD A. MACCIOLI ◽  
RICHARD G. AZIZKHAN ◽  
ROBERT E. WOOD
Keyword(s):  
Tracheal Stenosis ◽  
High Frequency ◽  
Congenital Tracheal Stenosis ◽  
Jet Ventilation ◽  
High Frequency Jet Ventilation
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