Secondary tracheal distortion in an adult patient after therapy for diphtheria at childhood

J Card Surg. 2020 May;35(5):1115-1118. doi: 10.1111/jocs.14502. Epub 2020 Mar 11.

Abstract

We report a rare case of difficult intubation because of trachea deformation after therapy for diphtheria and subsequent tracheostomy at childhood. The patient was admitted to be subjected to a Bentall procedure, because of ascending aorta dilatation. With a detailed preanesthetic assessment and simulation for intubation by using three-dimensional technology, he was successfully intubated and the operation was accomplished uneventfully. 3D-printed models of the difficult airway enhance imaging of difficult anatomy, assist in simulation and management of potentially problematic intubation, and can be a valuable tool when dealing with airways with potential anatomical malformations.

Keywords: 3D printing; fiberoptic intubation; tracheal distortion; tracheal stenosis.

Publication types

  • Case Reports

MeSH terms

  • Airway Management / methods*
  • Aorta / pathology
  • Aorta / surgery
  • Blood Vessel Prosthesis Implantation / methods
  • Computer Simulation
  • Dilatation, Pathologic / surgery
  • Diphtheria / therapy*
  • Humans
  • Intubation, Intratracheal / methods*
  • Male
  • Middle Aged
  • Models, Anatomic
  • Printing, Three-Dimensional
  • Time Factors
  • Trachea / abnormalities*
  • Trachea / diagnostic imaging*
  • Tracheal Stenosis / diagnostic imaging*
  • Tracheal Stenosis / etiology*
  • Tracheostomy / adverse effects*
  • Treatment Outcome