A successful surgical tracheobronchoplasty in a case of expiratory collapse of central airways associated with tracheobronchomalacia in a severely deformed single lung patient.
Ryuichi WasedaTakeshi ShiraishiSo MiyaharaToshihiko SatoAkinori IwasakiPublished in: General thoracic and cardiovascular surgery (2020)
A 67-year-old male with a severe body deformity and a total collapse of the left lung due to infantile paralysis was admitted to a regional hospital for a spinal fracture. He suffered from cardiopulmonary arrest during the hospitalization. Although extubation was tried several times after resuscitation, he went into cardiopulmonary arrest repeatedly. The expiratory collapse of the central airways due to tracheobronchomalacia was suspected, requiring tracheostomy with persistent positive pressure ventilation. He was transferred to our hospital after several unsuccessful endobronchial interventions. Severe tracheobronchomalacia was diagnosed with dynamic bronchoscopy, and surgical tracheobronchoplasty using a polypropylene mesh was performed. A modified surgical approach was utilized to stabilize the intraoperative respiratory status in this particular patient with a severely deformed body and a single lung. Consequently, the tracheobronchoplasty was completed without intraoperative complications. The postoperative course was also uneventful, and the patient was ventilator-free on postoperative day 7.
Keyphrases
- mechanical ventilation
- patients undergoing
- case report
- cystic fibrosis
- healthcare
- intensive care unit
- acute respiratory distress syndrome
- cell cycle
- early onset
- cardiac arrest
- spinal cord
- pulmonary embolism
- respiratory failure
- cardiac surgery
- acute care
- adverse drug
- risk factors
- emergency department
- electronic health record