Tracheal Reconstruction Using Endotracheal Stent and Pectoralis Major Muscle Flap

Ali B Abbasi; Andre Alcon; Alap Patel; Yaron Gesthalter; William Hoffman; Johannes Kratz

doi:10.1016/j.atssr.2022.07.002

Tracheal Reconstruction Using Endotracheal Stent and Pectoralis Major Muscle Flap

Ann Thorac Surg Short Rep. 2022 Jul 21;1(1):118-120. doi: 10.1016/j.atssr.2022.07.002. eCollection 2023 Mar.

Authors

Ali B Abbasi¹, Andre Alcon², Alap Patel², Yaron Gesthalter³, William Hoffman², Johannes Kratz⁴

Affiliations

¹ Department of Surgery, University of California, San Francisco, California.
² Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco, California.
³ Section of Interventional Pulmonary Medicine, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, California.
⁴ Division of Cardiothoracic Surgery, Department of Surgery, University of California, San Francisco, California.

Abstract

We present a case of tracheal anastomotic dehiscence requiring circumferential tracheal replacement. We developed a novel approach by deploying a silicone stent using a hybrid surgical and endobronchial technique, followed by pectoralis major flap coverage. The patient has remained free from dyspnea 6 months after the operation. Our interdisciplinary approach represents a relatively straightforward solution to tracheal anastomotic dehiscence, one of the most devastating complications in thoracic surgery.

Publication types

Case Reports