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Ann Thorac Surg 1999;67:1159-1160
© 1999 The Society of Thoracic Surgeons

Case Reports

Membranous tracheobronchial injury repaired with gastric serosal patch

Richard Gitter, MDa, Thomas M. Daniel, MDa, Bradley W. Kesser, MDb, James F. Reibel, MDb, Curtis G. Tribble, MDa

a Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health Science Center, Charlottesville, Virginia, USA
b Department of Otolaryngology, University of Virginia Health Science Center, Charlottesville, Virginia, USA

Accepted for publication October 7, 1998.

Address reprint requests to Dr Tribble, Division of Thoracic and Cardiovascular Surgery, University of Virginia Health Science Center, Box 310, Charlottesville, VA 22908

This unusual case involves pharyngolaryngoesophagectomy complicated by injury to the membranous trachea and right bronchus. Repair was possible after partial sternal split and elevation of the tracheostoma through the anterior mediastinum, pulling the stomach to the neck, and using the stomach as a patch to repair the injury to the membranous portion of the airway.




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