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Right arrow Trachea and bronchi

Ann Thorac Surg 2003;76:597-598
© 2003 The Society of Thoracic Surgeons

Case report

Saber-sheath malacic trachea remodeled and fixed into a normal shape by long-term placement and then removal of gianturco wire stent

Ichiro Fukai, MDa*, Yosuke Yamakawa, MDa, Masanobu Kiriyama, MDa, Masahiro Kaji, MDa, Motoki Yano, MDa, Hidefumi Sasaki, MDa, Yoshitaka Fujii, MDa

a The Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan

Accepted for publication December 23, 2002.

* Address reprint requests to Dr Fukai, The Second Department of Surgery, Nagoya City University Medical School, Mizuhoku, Nagoya 467-8601, Japan
e-mail: ifukai{at}med.nagoya-cu.ac.jp

We report the case of a 59-year-old man who presented with major dyspnea due to saber-sheath malacic trachea associated with chronic pulmonary obstructive disease. The placement of a temporary tracheal stent alleviated his dyspnea very well; hence the stent was replaced with a Gianturco wire stent (Cook Cardiology, Bloomington, IN). However, this required removal due to wire-stent-related complications 2 years after the replacement. Surprisingly the trachea had been remodeled to a normal shape resulting in comfortable, functional respiratory status. A review of the literature reveals our case to be the first report of curing saber-sheath malacic trachea without leaving any prostheses or other foreign materials.






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