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Ann Thorac Surg 2001;71:1335-1336
© 2001 The Society of Thoracic Surgeons

Case report

Treatment of severe carinal stenosis with overlapping metallic endoprosthesis

Constance P.L. Lo, MDa, Tan Bien Soo, MDb, Anne A.L. Hsu, MDa, Philip C.T. Eng, MDa

a Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore
b Department of Diagnostic Radiology, Singapore General Hospital, Singapore

Accepted for publication September 22, 2000.

Address reprint requests to Dr Lo, Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Outram Rd, Singapore 169608
e-mail: conslo{at}yahoo.com

A 50-year-old man presented with respiratory distress from central airway compression secondary to malignant mediastinal adenopathy. The stenosis involved the carinal triangle and created residual luminal diameters of 6 mm, 6 mm, and pinhole in the distal trachea and right and left mainstem bronchi, respectively. Airway patency at the carina was restored successfully with a stenting method that uses two overlapping Wall stents.




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