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Ann Thorac Surg 2000;70:984-986
© 2000 The Society of Thoracic Surgeons

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Transcervical–transtracheal endoluminal repair of membranous tracheal disruptions

Christophe Lancelin, MDa, Alain R. Chapelier, MD, PhDa, Elie Fadel, MDa, Paolo Macchiarini, MD, PhDa, Philippe G. Dartevelle, MDa

a Department of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Marie-Lannelongue Hospital, Paris-Sud University, Le Plessis Robinson, France

Address reprint requests to Dr Dartevelle, Department of Thoracic and Vascular Surgery Marie-Lannelongue Hospital, 133 Ave de la résistance, 92350 Le Plessis Robinson, France
e-mail: pdartevelle{at}ccml.com

Tracheal lacerations are rare and potentially hazardous complications of tracheal intubation. Surgical repair is the treatment of choice of tracheal injuries although nonoperative management is occasionally appropriate for well-selected patients. We describe our personal technique of anterior transcervical–transtracheal endoluminal suture of iatrogenic lacerations of the membranous trachea and our results with this approach in 8 patients. This method is less invasive than conventional cervical or transthoracic approaches.




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