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Ann Thorac Surg 1998;66:939-941
© 1998 The Society of Thoracic Surgeons

Case Reports

Tracheal obstruction in achalasia: a role for airway stenting?

Richard G. Berrisford, FRCS(CTh)a, Aung Oo, FRCSa, Martin J. Walshaw, FRCPa, Michael J. Drakeley, FRCSa

a The Cardiothoracic Centre, Liverpool, England, United Kingdom

Accepted for publication March 24, 1998.

Address reprint requests to Mr Berrisford, Royal Devon and Exeter Hospital, Barrack Rd, Exeter, Devon, EX2 5DW, England
e-mail: (richard{at}berrisford.u-net.com)

We describe an 82-year-old woman who presented with acute tracheal obstruction secondary to advanced, asymptomatic achalasia. Conventional treatment of her achalasia failed to relieve recurrent episodes of airway obstruction requiring endotracheal intubation. Because she was not fit for an operation, a Gianturco endotracheal stent was placed bronchoscopically. She remains without respiratory or upper gastrointestinal symptoms 2 years later. Recent information regarding the pathophysiology and surgical treatment of this complication is reviewed.




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